Individual
MRS. BETTE AXIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20111 CEDAR RD N, SONORA, CA 95370-5939
(209) 533-7422
Mailing address
20111 CEDAR RD N, SONORA, CA 95370-5939
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
262840
CA
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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