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Individual

MISS MACDANA SELECON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1010 HELEN POWER DR # 1058, VACAVILLE, CA 95687-3504
(707) 285-0472
(707) 203-8693
Mailing address
1010 HELEN POWER DR # 1058, VACAVILLE, CA 95687-3504
(707) 285-0472
(707) 203-8693

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95204457
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95029190
CA

Other

Enumeration date
08/04/2021
Last updated
10/10/2025
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