Individual
MRS. KARINA ISELA MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
590 W PUTNAM AVE, PORTERVILLE, CA 93257-3257
(559) 805-8527
Mailing address
230 N PEPPER ST, WOODLAKE, CA 93286-1429
(559) 805-8527
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
743106
CA
363LP0200X
Pediatric Nurse Practitioner
95016201
CA
Other
Enumeration date
03/13/2009
Last updated
03/09/2021
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