Individual
DORINDA KAY REVELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 445-7715
Mailing address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 445-7715
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
260817
CA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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