Individual
DEBRA ANN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHN
Contact information
Practice address
275 BECK AVE, FAIRFIELD, CA 94533-6804
(707) 784-8088
Mailing address
275 BECK AVE, FAIRFIELD, CA 94533-6804
(707) 784-8088
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
493980
CA
Other
Enumeration date
06/02/2017
Last updated
07/21/2022
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