Individual
MISS WENDA ELIZABETH DECENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1090 E CYPRESS AVE STE B, REDDING, CA 96002-1163
(530) 223-2332
(530) 223-4721
Mailing address
1090 E CYPRESS AVE STE B, REDDING, CA 96002-1163
(530) 223-2332
(530) 223-4721
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
627320
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
823540239
—
CA
Enumeration date
11/30/2021
Last updated
11/30/2021
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