Individual
MAUREEN ANNE FEGGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 NORTH LOOP ROAD, FORT IRWIN, CA 92310
(760) 383-5267
(760) 383-5127
Mailing address
BLG 390 NORTH LOOP RD, FORT IRWIN, CA 92310
(760) 383-5267
(760) 383-5127
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
771012
CA
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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