NPI 1366494924

Wanetta King, LCSW

Practitioner Military Health Care Provider Beale Afb, CA

Practice location

Address: 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907
Phone: (530) 634-3423
Fax: (530) 634-0670

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X Licence 2552-C (NV)

Other Military Health Care Provider providers in California →

Registry record

NPI: 1366494924
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 May 2006
Record last updated: 21 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.