Individual provider · Type 1 NPI
Carol Marie Festejo, R.N.
Psychiatric/Mental Health Registered Nurse · Modesto, CA
NPI number
1700905007
Active
Practice location
500 N 9th St
Modesto, CA 95350-5814
Fax (209) 558-4162
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 624555 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1700905007
Carol Marie Festejo, R.N.'s National Provider Identifier is 1700905007, issued on Mar 28, 2007. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Modesto, CA. The record was last updated on Oct 22, 2012.