Individual
HYDEE B DECLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 BUNKER HILL WAY, SUITE #100, SALINAS, CA 93906-6010
(831) 796-1304
Mailing address
3155 DE FOREST RD, MARINA, CA 93933-2702
(831) 384-1445
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588617955
CLINIC NPI
CA
05
—
FHC70655F
—
CA
05
—
HAP70655F
—
CA
Enumeration date
07/06/2009
Last updated
07/06/2009
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