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Individual

MRS. KATHY FICCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1905 NOVATO BLVD, NOVATO, CA 94947-2912
(415) 897-6884
(415) 897-1585
Mailing address
1905 NOVATO BLVD, NOVATO, CA 94947-2912
(415) 897-6884
(415) 897-1585

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
235931
CA

Other

Enumeration date
05/23/2016
Last updated
05/23/2016
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