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Individual

BIANCA K. JUNKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
421 E MORRIS AVE, MODESTO, CA 95354
(209) 558-7494
Mailing address
421 E MORRIS AVE, MODESTO, CA 95354-0437
(209) 558-7494

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.015016
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95011628
CA

Other

Enumeration date
10/25/2016
Last updated
05/20/2019
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