Individual
DEANNA SIDEBOTTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2639 FOREST AVE STE 110, CHICO, CA 95928-4393
(530) 899-2255
Mailing address
2639 FOREST AVE STE 110, CHICO, CA 95928-4393
(530) 899-2255
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
229629
CA
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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