Individual
CONNIE TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, PHN
Contact information
Practice address
5000 W CYPRESS AVE, VISALIA, CA 93277-8300
(559) 730-7580
Mailing address
5000 W CYPRESS AVE, VISALIA, CA 93277-8300
(559) 730-7580
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
558650
CA
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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