Individual
LAURIE-LEN V MAGNAYE-MCCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1234 EMPIRE STREET, FAIRFIELD, CA 94533
(707) 426-3911
(707) 428-2790
Mailing address
1234 EMPIRE STREET, FAIRFIELD, CA 94533
(707) 426-3911
(707) 428-2790
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP15683
CA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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