Individual
DAVEIN RENEE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, APN-BC
Contact information
Practice address
520 W I ST, LOS BANOS, CA 93635-3419
(209) 826-0591
Mailing address
520 W I ST, LOS BANOS, CA 93635-3419
(209) 826-0591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20402
CA
Other
Enumeration date
08/16/2011
Last updated
04/22/2014
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