Individual
MRS. CRISTINA SUPEN DULCICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
420 34TH ST, BAKERSFIELD, CA 93301-2237
(661) 327-1792
Mailing address
12705 WILLOWDALE DR, BAKERSFIELD, CA 93312-6553
(661) 706-9995
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95003593
CA
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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