Individual
MISS EMILY DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
751009
CA
163WC1500X
Community Health Registered Nurse
78353
CA
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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