Individual
CHRISTIANE T HORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 CORK OAK LN, MANTECA, CA 95336-9129
Mailing address
4032 HUBBARD RD, STOCKTON, CA 95215-1854
(209) 969-4633
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN240115
CA
Other
Enumeration date
08/04/2018
Last updated
08/04/2018
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