Individual
MARIA THERESA NAZARENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
16098 TSIRELAS DR, TRACY, CA 95304-9759
(209) 839-7569
Mailing address
16098 TSIRELAS DR, TRACY, CA 95304-9759
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95020862
CA
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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