Individual
MRS. ANITA MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
409 DRUMMOND AVE, RIDGECREST, CA 93555-3120
(760) 371-2128
Mailing address
409 DRUMMOND AVE, RIDGECREST, CA 93555-3120
(760) 371-2128
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
233954
CA
Other
Enumeration date
08/14/2007
Last updated
12/20/2011
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