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Debra Mutopo, FNP
Family Nurse Practitioner in San Andreas, California
NPI 1891256947

Debra Mutopo is a Family Nurse Practitioner based in San Andreas, CA and is specialized in Family. Debra Mutopo practices in San Andreas, CA and has the professional credentials of FNP. The NPI Number for Debra Mutopo is 1891256947 and holds a License No. NP95010992 (California).

The current practice location address for Debra Mutopo is 900 Mountain Ranch Rd, San Andreas, CA and can be reached out via phone at 209-754-3823.

Location: 900 Mountain Ranch Rd, San Andreas, CA, 95249-1569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891256947
Provider Name
Debra Mutopo
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
900 Mountain Ranch Rd, San Andreas, CA, 95249-1569
Phone Number
209-754-3823
Fax Number
Provider Enumeration Date
03/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
900 Mountain Ranch Rd
City
San Andreas
State
California
Zip
95249-9713
Phone Number
209-754-3823
Fax Number
person
Provider Business Mailing Address Details
Address
900 Mountain Ranch Rd
City
San Andreas
State
California
Zip
95249-9713
Phone Number
209-754-3823
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP95010992 (California)
Definition
Definition to come...
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