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Individual

MS. DEBORAH ANNETTE SCHMIDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
6302 13TH AVE., LUCERNE, CA 95458
(707) 274-9101
Mailing address
10010 SKY CT, A, KELSEYVILLE, CA 95451-9514
(559) 978-8555

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
VN 207972
CA
164X00000X
Licensed Vocational Nurse
Primary
VN207972
CA
310500000X
Mental Illness Intermediate Care Facility
VN207972
CA

Other

Enumeration date
10/19/2016
Last updated
10/19/2016
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