Individual
MR. EWAN STEPHEN MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
1301 ENSLEN AVE, MODESTO, CA 95350-5157
(209) 985-2911
Mailing address
1301 ENSLEN AVE, MODESTO, CA 95350-5157
(209) 985-2911
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
384397
CA
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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