Individual
JULIET REGIS VISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
7300 N FRESNO ST, FRESNO, CA 93720-2942
(559) 448-2324
Mailing address
4033 MORRISON WAY, ROSEVILLE, CA 95747-8789
(562) 761-3282
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95017389
CA
364SA2200X
Adult Health Clinical Nurse Specialist
3805
CA
Other
Enumeration date
09/02/2020
Last updated
03/24/2023
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