Individual
MS. FANTINE WARDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1700 COFFEE RD, MODESTO, CA 95355-2803
(209) 526-4500
(209) 572-7901
Mailing address
1700 COFFEE RD, MODESTO, CA 95355-2803
(209) 526-4500
(209) 572-7901
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14939
CA
Other
Enumeration date
06/04/2007
Last updated
07/25/2016
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