Individual
JOY PHYLLIS HANDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2009 FLORAL CT, MODESTO, CA 95356-8742
(209) 526-1957
Mailing address
2009 FLORAL CT, MODESTO, CA 95356-8742
(209) 526-1957
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN146570
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EPS012260
—
CA
Enumeration date
05/20/2007
Last updated
07/09/2007
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