Individual
FATMATA NANCY LONGSTRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2366 WINCHESTER LOOP, DISCOVERY BAY, CA 94514-1855
(925) 335-4707
(925) 335-4718
Mailing address
100 WARD STREET, MARTINEZ, CA 94553
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
548100
CA
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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