Individual
MRS. BETTY DENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, PHN
Contact information
Practice address
1601 E HAZELTON AVE, STOCKTON, CA 95205-6229
(209) 468-3822
(209) 468-8222
Mailing address
1601 E HAZELTON AVE, STOCKTON, CA 95205-6229
(209) 468-3822
(209) 468-8222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
320972
CA
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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