Individual
MRS. CLARICE ILEAN BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
(RN-241415), MSN, (P
Contact information
Practice address
4600 BROADWAY - SUITE 1300, SACRAMENTO, CA 95820
(916) 874-9823
(916) 874-9442
Mailing address
7001-A EAST PARKWAY SUITE 250, SACRAMENTO, CA 95823
(916) 876-8852
(916) 391-0762
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
241415(RN)
CA
163WC0400X
Case Management Registered Nurse
83883(PHN)
CA
163WC1500X
Community Health Registered Nurse
83883(PHN)
CA
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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