SearchCalifornia106E00000X

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NPI 1659070092 · on the registry since 2023

Practice

Address
6874 Walnut Ave
Winton, CA 95388
Phone
(209) 621-9168

Registry record

Primary taxonomy
106E00000X
106E00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-24

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