Individual
ANITA HARROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 N 9TH ST STE B, MODESTO, CA 95350-5814
(209) 341-1824
Mailing address
500 N 9TH ST STE B, MODESTO, CA 95350-5814
(209) 341-1824
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95024865
CA
Other
Enumeration date
04/24/2008
Last updated
02/18/2014
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