Individual
SITI NOR MAMBANG SERI BIN FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2615 E CLINTON AVE, FRESNO, CA 93703-2223
(553) 225-6100
Mailing address
382 E LOYOLA AVE, FRESNO, CA 93720-1640
(559) 355-7320
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
578560
CA
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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