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LOIS CORINA BAETA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
100 HOSPITAL DR, VALLEJO, CA 94589-2580
(707) 427-4900
(707) 551-3617
Mailing address
2720 LOW CT, FAIRFIELD, CA 94534-9771
(707) 428-2731
(707) 428-2740

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN650838
CA
363L00000X
Nurse Practitioner
Primary
NP17099
CA

Other

Enumeration date
01/26/2009
Last updated
01/26/2009
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