Individual
MS. CAROL MARIE FESTEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
500 N 9TH ST, MODESTO, CA 95350-5814
(209) 558-4598
(209) 558-4162
Mailing address
500 N 9TH ST, MODESTO, CA 95350-5814
(209) 558-4598
(209) 558-4162
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
624555
CA
Other
Enumeration date
03/28/2007
Last updated
10/22/2012
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