Individual
FAYNALDA JOANN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
29811 N LILLEY WAY, COARSEGOLD, CA 93614-9624
(209) 628-3668
Mailing address
29811 N LILLEY WAY, COARSEGOLD, CA 93614-9624
(209) 628-3668
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN 250360
CA
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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