Individual
MRS. KATHY SPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CDE
Contact information
Practice address
1303 E HERNDON AVE, FRESNO, CA 93720-3309
(559) 450-2002
Mailing address
1303 E HERNDON AVE, FRESNO, CA 93720-3309
(559) 450-2002
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
391473
CA
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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