Individual
MRS. BERNADETTE NICACIO CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1370 SCOTT AVE APT 101, CLOVIS, CA 93612-2945
(559) 417-9993
Mailing address
1370 SCOTT AVE APT 101, CLOVIS, CA 93612-2945
(559) 417-9993
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN235592
CA
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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