Individual
MRS. NANCY MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
3241 MAGNOLIA, CLOVIS, CA 93611-9606
(559) 305-5508
Mailing address
3241 MAGNOLIA AVE, CLOVIS, CA 93611-6069
(559) 305-5508
Taxonomy
Speciality
Code
Description
License number
State
163WD1100X
Peritoneal Dialysis Registered Nurse
825733
CA
163WH0500X
Hemodialysis Registered Nurse
Primary
825733
CA
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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