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Individual

MR. DAVID WIEBE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
315 N SANTA ANA AVE, MODESTO, CA 95354-1552
(831) 295-0960
Mailing address
315 N SANTA ANA AVE, MODESTO, CA 95354-1552
(831) 295-0960

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
550374
CA

Other

Enumeration date
04/09/2025
Last updated
04/09/2025
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