California Department of Corrections &rehabilitation

NPI #1073710398 in Chowchilla, California

Provider Information

NPI Number
1073710398
Entity Type
Organization
Organization Name
California Department of Corrections &rehabilitation
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Jun 29, 2007
Last Updated
Feb 5, 2009

Practice Location

Address
21633 AVENUE 24
ZIP Code
93610-0099
Phone
(559) 665-6100

Authorized Official

Name
MS. BARBARA L. WOODWARD, N.P.
Title
NURSE PRACTITIONER
Phone
(559) 665-6100

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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Provider Name
Family Healthcare of Chowchilla

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