Individual
MS. CONSTANCE MARIE VACCAREZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHN
Contact information
Practice address
6421 S BURSON RD, VALLEY SPRINGS, CA 95252-8909
(209) 772-3192
Mailing address
6421 S BURSON RD, VALLEY SPRINGS, CA 95252-8909
(209) 772-3192
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
384667
CA
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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