Individual
DEBBIE LEANNE RUNYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
770 10TH ST, ARCATA, CA 95521-6210
(707) 826-8610
(707) 826-8623
Mailing address
670 9TH ST STE 203, ARCATA, CA 95521-6249
(707) 826-8633
(707) 826-8628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95106056
CA
164X00000X
Licensed Vocational Nurse
246904
CA
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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