Individual
DRUCILLA ADENIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
644 W 12TH ST, TRACY, CA 95376-3437
(209) 832-8984
Mailing address
1562 EGRET DR, TRACY, CA 95376-8317
(209) 814-6791
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95021366
CA
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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