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MISS MICHELLE LOUISE MADDIN RN

Case Management >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1609002260

Individual Registrant:
MISS MICHELLE LOUISE MADDIN RN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3230 PEACEKEEPER WAY BLDG 209 MCCLELLAN, CA 95652-2609 US
Tel: 916-830-1513  Fax: 916-929-1861

Contact information for business:
3230 PEACEKEEPER WAY BLDG 209 MCCLELLAN, CA 95652-2609 US
Tel: 916-830-1513  Fax: 916-929-1861

Registration Information:
NPI: 1609002260
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WC0400XNursing Service Providers
Registered Nurse
Case Management
TX689414

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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