Individual
MS. NINA ANN DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
559 MENDOCINO CT, ATWATER, CA 95301-4230
(209) 357-5200
Mailing address
559 MENDOCINO CT, ATWATER, CA 95301-4230
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
02088965
CA
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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