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Individual

DETELDRA MARISHA JUNIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
7818 BAR DU LN, SACRAMENTO, CA 95829-9469
(916) 362-8292
Mailing address
24077 STATE HIGHWAY 49, NEVADA CITY, CA 95959-8519
(530) 265-9057

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN95216665
CA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN95216665
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN95216665
CA

Other

Enumeration date
08/23/2021
Last updated
08/23/2021
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