Individual
MS. BELEN ALEJANDRA LASTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1125 OXFORD CT, DIXON, CA 95620-2217
(707) 674-1822
Mailing address
1125 OXFORD CT, DIXON, CA 95620-2217
(707) 674-1822
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95076387
CA
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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