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Organization
PATRICIA J WEATHINGTON
Active
Organization
PATRICIA J WEATHINGTON
Active
Other names
Patricia J Weathington
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA J WEATHINGTON LPN (HEALTH MINISTER/ PASTORAL COUNSELOR)
(623) 247-2182
Entity
Organization
Contact information
Practice address
4762 W JENNIFER AVE STE 102, FRESNO, CA 93722-6423
(623) 247-2182
Mailing address
4762 W JENNIFER AVE STE 102, FRESNO, CA 93722-6423
(623) 247-2182
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN176064
CA
251J00000X
Nursing Care Agency
LP036459
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RVN000620
MEDI-CAL
CA
Enumeration date
11/02/2009
Last updated
11/02/2009
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