Individual
LAURA GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
820 SCENIC DR, MODESTO, CA 95350-6131
(209) 558-8865
Mailing address
820 SCENIC DR, MODESTO, CA 95350-6131
(209) 558-8865
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN403806
CA
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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