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ANN RADFORD FNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1497075790

Individual Registrant:
 ANN  RADFORD FNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
18144 SECO ST  JAMESTOWN, CA 95327-9737 US
Tel: 209-984-4820  Fax: 209-984-4825

Contact information for business:
18144 SECO ST  JAMESTOWN, CA 95327-9737 US
Tel: 209-984-4820  Fax: 209-984-4825

Registration Information:
NPI: 1497075790
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CA19825

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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