Individual
GLENDA SHERRY PEVETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1303 E HERNDON AVE, FRESNO, CA 93720-3309
(318) 267-2552
Mailing address
2858 E MILLBRAE AVE, FRESNO, CA 93710-4825
(318) 267-2552
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95015571
CA
363LF0000X
Family Nurse Practitioner
215719
LA
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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