Individual
MRS. DIANE GARCIA BERNALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3400 TULLY RD, MODESTO, CA 95350-0803
(209) 846-6440
Mailing address
17809 WHEAT FIELD ST, LATHROP, CA 95330-8999
(209) 751-7781
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95027960
CA
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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