DERANEE PEARL TABOR

Licensed Practical Nurse

NPI: 1245100668Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

704752(CA)

Contact & Hours

Address: 541 S HAM LN STE A&B
LODI, CA 95242
Phone: (209) 224-8940

Quick Facts

NPI: 1245100668
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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