Individual
MRS. GLENDA MARY LINGENFELTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7416 PADDON RD, VACAVILLE, CA 95688-8602
(707) 448-1361
Mailing address
7416 PADDON RD, VACAVILLE, CA 95688-8602
(707) 448-1361
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN422445
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN422445
RN LICENSE
CA
Enumeration date
12/15/2006
Last updated
07/08/2007
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