Individual
EDNA PASCUAL SISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1069 SKYLAR LN, CLOVIS, CA 93619-6942
(559) 821-9905
Mailing address
1069 SKYLAR LN, CLOVIS, CA 93619-6942
(559) 821-9905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
829933
CA
Other
Enumeration date
02/02/2023
Last updated
02/17/2023
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