Retta M Siregar, REGISTERED NURSE
NPI #1972213957 in Lemoore, California
Provider Information
- NPI Number
- 1972213957
- Entity Type
- Individual
- Name
- Retta M Siregar, REGISTERED NURSE
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse - General Practice
- Credential
- REGISTERED NURSE
- Enumeration Date
- Nov 30, 2022
- Last Updated
- Nov 30, 2022
Practice Location
- Address
- 1104 PAR AVE
- City
- Lemoore
- State
- California
- ZIP Code
- 93245-9061
- Phone
- (559) 754-4521
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - General Practice — General Practice |
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