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Individual

AMANDA J BADGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
726 4TH ST, MARYSVILLE, CA 95901-5656
(530) 751-4784
Mailing address
PO BOX 3067, YUBA CITY, CA 95992-3067
(530) 751-4784
(530) 751-4906

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
777823
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001136
CA

Other

Enumeration date
02/05/2019
Last updated
05/13/2019
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