Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Acute Care
Enumerated
Apr 5, 2018
License(s)
95011002 (CA), 95011002 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2823 FRESNO ST | Fresno, CA 93721-1324 | 559-459-3705 |
| MAILING | 2625 E DIVISADERO ST | Fresno, CA 93721-1431 | 559-443-2682 |
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