Individual
CONNIE C SEACRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 989-5476
Mailing address
79398 MONTEGO CT, 20, BERMUDA DUNES, CA 92203-8015
(760) 989-5476
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
534311
CA
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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