Individual
MRS. PRAVEENA DEVI PAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 300-8800
Mailing address
3301 WOOD SORREL DR, MODESTO, CA 95355-7891
(209) 573-0938
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
813293
CA
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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