Individual
DEBORAH LYNN GOREHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
690 GUZZI LN STE C, SONORA, CA 95370-5292
(209) 533-0333
Mailing address
690 GUZZI LN STE C, SONORA, CA 95370-5292
(209) 533-0333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95001269
CA
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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