Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Aug 24, 2006
License(s)
265721 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2135 SUNWEST DR | Lodi, CA 95242-3712 | 209-334-3433 |
| LOCATION | 1800 N CALIFORNIA ST ST. JOSEPH'S CAREVAN SERVICES | Stockton, CA 95204-6019 | 209-461-5026 |
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