SearchCalifornia1041C0700X

Genifer Wayrynen

NPI 1285938217 · on the registry since 2011 · sole proprietor

Practice

Address
1700 Mchenry Ave
Modesto, CA 95350
Phone
(209) 550-5850
Organisation at this address
Stanislaus County
Phillip Ha Dental Corporation
Longs Drug Stores California Llc
Stanislaus Vision Associates Optometric Group Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Additional practice sites

  • 1800 Tully Rd, Modesto, CA

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
171M00000X
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-06-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California