Individual
TEREA ANN GIANNETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93638-8761
(559) 353-5460
(559) 353-5095
Mailing address
9300 VALLEY CHILDRENS PL, MADERA, CA 93638-8761
(559) 353-5460
(559) 353-5095
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
265153
CA
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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