Individual
RETTA M SIREGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1104 PAR AVE, LEMOORE, CA 93245-9061
(559) 754-4521
Mailing address
1104 PAR AVE, LEMOORE, CA 93245-9061
(559) 754-4521
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95089172
CA
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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