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Individual

CONSTANCE S SPRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
16236 N LAKE ST, MADERA, CA 93638-1615
(559) 691-4488
Mailing address
2609 HOLIDAY WAY, MADERA, CA 93637-4124
(559) 416-0428

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
VN221099
CA
164X00000X
Licensed Vocational Nurse
Primary
VN221099
CA

Other

Enumeration date
05/03/2022
Last updated
05/03/2022
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