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Nursing Service Providers Registered Nurse Dialysis, Peritoneal

Provider NPI: 1396176269

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 916-453-3534  Fax: 916-454-2012

Business Mailing Address:
Tel: 916-453-3534  Fax: 916-454-2012

NPI Information:
NPI: 1396176269
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y163WD1100XNursing Service Providers
Registered Nurse
Dialysis, Peritoneal
N163WH0500XNursing Service Providers
Registered Nurse

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 163WD1100X





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