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Individual

DOLORES ANN WEST

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RN, NP

Contact information

Practice address
2416 W SHAW AVE, SSUITE 106, FRESNO, CA 93711-3303
(559) 438-1777
(559) 432-4533
Mailing address
5490 N WEST AVE, APT 103, FRESNO, CA 93711-2952
(559) 435-5447
(559) 432-4533

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
8151
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
266130
REGISTERED NURSE
CA
01
8151
NURSE PRACTITIONER LIC
CA
Enumeration date
01/06/2006
Last updated
07/08/2007
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