Individual
MIFFELDA LECHUGA DELAFUENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BSN,OCN
Contact information
Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4405
(209) 576-3880
(209) 576-3884
Mailing address
4209 FROST WAY, MODESTO, CA 95356-8918
(209) 545-3099
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
2333997
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2333997
RN LICENSE NUMBER
CA
Enumeration date
05/22/2007
Last updated
07/08/2007
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