Individual provider · Type 1 NPI
Wanetta King, LCSW
Military Health Care Provider · Beale Afb, CA
NPI number
1366494924
Active
Practice location
15301 Warren Shingle Rd
Beale Afb, CA 95903-1907
Fax (530) 634-0670
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | 2552-C (NV) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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- Angelo J. Boss, PharmDPharmacist Beale Afb, CA NPI 1962040956
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Other military health care provider providers in Beale Afb
About NPI 1366494924
Wanetta King, LCSW's National Provider Identifier is 1366494924, issued on May 16, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Beale Afb, CA. The record was last updated on Feb 21, 2008.