Individual
MRS. HADASSAH LATRESSE MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1515 VALDORA ST APT 801, DAVIS, CA 95618-7800
(916) 868-4349
Mailing address
7446 COSGROVE WAY, SACRAMENTO, CA 95822-5214
(916) 393-4557
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
611638
CA
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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