Individual
DENISE AUDREY MORDUE-LAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1919 VISTA DEL LAGO DR, VALLEY SPRINGS, CA 95252-9294
(209) 772-9538
(209) 772-0312
Mailing address
1919 VISTA DEL LAGO DR, VALLEY SPRINGS, CA 95252-9294
(209) 772-9538
(209) 772-0312
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
NP6294
CA
Other
Enumeration date
08/08/2007
Last updated
04/19/2017
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