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Individual

TERI E DEANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CREDENTIALED SN

Contact information

Practice address
350 E K ST, BENICIA, CA 94510-3437
(707) 748-2624
(707) 746-6152
Mailing address
350 E K ST STE 7, BENICIA, CA 94510-3437
(707) 748-2624

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
456131
CA

Other

Enumeration date
06/19/2018
Last updated
06/19/2018
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