Individual
MRS. DELIA JEANETTE PANCHULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN, IBCLC
Contact information
Practice address
275 BECK AVE, MAIL STATION 5-240, FAIRFIELD, CA 94533-6804
(707) 784-8776
Mailing address
136 SAYBROOK AVE, VACAVILLE, CA 95687-4129
(707) 784-8776
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
550335
CA
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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