Individual
SCOTT WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2362 BRACKEY LANE, MEADOW VISTA, CA 95722-1437
(530) 878-7063
Mailing address
PO BOX 1437, MEADOW VISTA, CA 95722-1437
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
295289
CA
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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