Lynda Diane Perino RN PHN

NPI 1104008853 - Registered Nurse - 163W00000X

NPI Details
NPI 1104008853
Gender Female
Enumeration Date 12/04/2007
Last Updated 12/04/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
830 SCENIC DR
BLDG 3 RM 7
MODESTO CA, 95350-6131, US
Phone (209) 652-1618
Fax (209) 558-8315
Business Location
PO BOX 3127
MODESTO CA, 95353-3127, US
Phone (209) 652-1618
Fax (209) 558-8315
Toxanomy
Taxonomy Code 163W00000X
License State California
License Number 320906
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According to our database, Ms. Lynda Diane Perino RN PHN NPI is 1104008853, taxonomy code is 163W00000X and license number is 320906, license state is located at California. Lynda Diane Perino RN PHN physically located at 830 Scenic Dr, Modesto CA, 95350-6131. NPI Number Lynda Diane Perino RN PHN has the Individual type.

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1104008853 NPI number is provided on an as is basis without warranty of any kind. 1104008853 is maintained by the National Plan & Provider Enumeration System. The contents of Lynda Diane Perino RN PHN are for informational purposes only.