Individual
JEANETTE VICTORIA MCCREADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
167 WATERFORD DR, VACAVILLE, CA 95688-9222
(707) 301-6959
Mailing address
167 WATERFORD DR, VACAVILLE, CA 95688-9222
(707) 301-6959
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1656
CA
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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