Most Relevant Information
Provider Data
| NPI Number: | 1003256793 |
| Provider Name: | BERNADETTE NICACIO CARMONA LVN |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | VN235592 |
Most Important Dates
| Enumeration Date: | 06/27/2013 |
| Last Updated: | 06/27/2013 |
Provider Practice Location
1370 SCOTT AVE APT 101
CLOVIS
CA
936122945
Practice Location Phone/Fax
| Phone: | 5594179993 |
| Fax: |
Provider Mailing Location
1370 SCOTT AVE APT 101
CLOVIS
CA
936122945
Provider Mailing Phone/Fax
| Phone: | 5594179993 |
| Fax: |