Individual
MARY ELIZABETH HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, PHN
Contact information
Practice address
5730 PACKARD AVE, #100, MARYSVILLE, CA 95901-7118
(530) 749-6492
Mailing address
1100 ROSEVILLE PKWY, #921, ROSEVILLE, CA 95678-4100
(707) 718-6018
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
791218
CA
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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