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Nursing Service Providers Registered Nurse Perinatal

Provider NPI: 1982882890

Provider Information:
Gender: F
Sole Proprietor

Practice Location:
1551 BISHOP ST STE 240/310 SAN LUIS OBISPO, CA 93401-4635 US
Tel: 805-549-0402  Fax: --

Business Mailing Address:
150 TEJAS PL PO BOX 430 NIPOMO, CA 93444-9123 US
Tel: 805-929-3211  Fax: 805-929-6440

NPI Information:
NPI: 1982882890
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y163WP1700XNursing Service Providers
Registered Nurse

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 163WP1700X





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