Individual
RAMONA LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
126 FERGUSON AVE, BAKERSFIELD, CA 93308
(661) 392-2130
(661) 392-2134
Mailing address
126 FERGUSON AVE, BAKERSFIELD, CA 93308
(661) 392-2130
(661) 392-2134
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
95105675
CA
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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