Individual
MS. PATTY ANN MCDONOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
51 MIDWAY DRIVE, SPACE 44, TRINIDAD, CA 95570
(707) 845-9099
(707) 677-3575
Mailing address
PO BOX 992, TRINIDAD, CA 95570-0992
(707) 845-9099
(707) 677-3575
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
519060
CA
163WC0400X
Case Management Registered Nurse
Primary
519060
CA
163WH0200X
Home Health Registered Nurse
519060
CA
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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