Donna Rae Hethcock, rn
Registered Nurse, Ambulatory Care in Oxnard, CA. Individual provider (NPI-1).
NPI number1629001094
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1629001094
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Donna Rae Hethcock
- Credential
- rn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP2201X | Registered Nurse, Ambulatory Care | rn281113 | CA | Yes |
Practice location
1901 Outlet Center DrOxnard, CA 93036-0663
Phone 805-604-9500
Mailing address
390 Castleton StCamarillo, CA 93012-7720
Phone 805-388-0405
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