Individual
MRS. EADGITHA G. WAKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2751 NAPA VALLEY CORPORATE DR, NAPA, CA 94558-6216
(707) 253-4727
(707) 253-4815
Mailing address
2751 NAPA VALLEY CORPORATE DR, NAPA, CA 94558-6216
(707) 253-4727
(707) 253-4815
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
248012
CA
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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