Individual
BONNIE JUNE HASCALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.V.N.
Contact information
Practice address
594 W MUNCIE AVE, CLOVIS, CA 93619-8350
(559) 325-1801
Mailing address
2580 S MCCALL AVE, SANGER, CA 93657-9720
(559) 264-7015
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LVN91919
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164X00000X
—
CA
Enumeration date
03/06/2007
Last updated
07/09/2007
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