Individual
MRS. SANDRA SAMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1965 LIVE OAK BLVD, YUBA CITY, CA 95991-8828
(530) 822-7513
Mailing address
1965 LIVE OAK BLVD, YUBA CITY, CA 95991-8828
(530) 822-7513
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN516430
CA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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