Individual
SOPHEA PANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 558-4600
Mailing address
1904 RICHLAND AVE BLDG C-2, CERES, CA 95307-4562
(209) 525-5079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
792247
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
792247
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
22774
CA
Other
Enumeration date
09/09/2011
Last updated
06/14/2023
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