Individual
MS. GAIL DOLORES JERIDEAU-PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
30251 CHANNEL WAY DR, CANYON LAKE, CA 92587-7986
(951) 246-2640
Mailing address
30251 CHANNEL WAY DR, CANYON LAKE, CA 92587-7986
(951) 246-2640
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
459851
CA
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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