Individual
MISS MICHELLE LOUISE MADDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3230 PEACEKEEPER WAY, BLDG 209, MCCLELLAN, CA 95652-2609
(916) 830-1513
(916) 929-1861
Mailing address
3230 PEACEKEEPER WAY, BLDG 209, MCCLELLAN, CA 95652-2609
(916) 830-1513
(916) 929-1861
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
689414
TX
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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