Individual
DANA GEORGE DETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
4785 N 1ST ST, 1ST FLOOR, FRESNO, CA 93726-0513
(559) 448-4745
(559) 448-4740
Mailing address
5596 W CROMWELL AVE, FRESNO, CA 93722-2714
(559) 275-4722
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN506592
CA
Other
Enumeration date
11/15/2005
Last updated
07/08/2007
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