Individual
JANET L PETRIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
408 GRACE AVE, MODESTO, CA 95356-1434
(209) 529-6876
Mailing address
408 GRACE AVE, MODESTO, CA 95356-1434
(209) 529-6876
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
271419
CA
Other
Enumeration date
12/09/2006
Last updated
07/08/2007
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