Individual
MS. GEERTRUIDA L PREVETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
820 SCENIC DR, MODESTO, CA 95350-6131
(209) 558-5670
(209) 558-7531
Mailing address
820 SCENIC DR, MODESTO, CA 95350-6131
(209) 558-5670
(209) 558-7531
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN227126
CA
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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