Individual
MRS. KATHY R ANDEREGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1012 RAUBE CT, MODESTO, CA 95351-2417
(209) 544-9377
Mailing address
15421 SANTOS AVE, RIPON, CA 95366-9748
(209) 599-2416
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
504002
CA
Other
Enumeration date
04/07/2007
Last updated
07/08/2007
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