Individual
ELIZABETH KATHLEEN HANNA DUEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CNS
Contact information
Practice address
119 PARK AVE, MODESTO, CA 95354-0556
(917) 496-0736
Mailing address
119 PARK AVE, MODESTO, CA 95354-0556
(917) 496-0736
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
5037
CA
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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