Mutopo, Debra

Mutopo, Debra is an individual health care provider with primary practice located at 900 Mountain Ranch Rd , San Andreas CA 95249-9713. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mutopo, Debra can be contacted via phone (209) 754-3823.

Contact Information

Primary practice address
900 Mountain Ranch Rd San Andreas CA 95249-9713
Phone: (209) 754-3823
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP95010992 California

Profile Details

NPI number 1891256947
LBN Legal business name Mutopo, Debra
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2019
Last updated Jun 6th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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