Individual
FNU NOVITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4273 STROMFORD WAY, MATHER, CA 95655-3003
(916) 812-0151
Mailing address
4273 STROMFORD WAY, MATHER, CA 95655-3003
(916) 812-0151
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN233516
CA
Other
Enumeration date
08/25/2016
Last updated
02/28/2023
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