Provider Demographics
NPI:1790760114
Name:LUNA, DORIS M (RN)
Entity Type:Individual
Prefix:
First Name:DORIS
Middle Name:M
Last Name:LUNA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:3414 SWALLOWS NEST LN
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95833-9612
Mailing Address - Country:US
Mailing Address - Phone:916-564-1177
Mailing Address - Fax:
Practice Address - Street 1:2521 STOCKTON BLVD
Practice Address - Street 2:3300
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2207
Practice Address - Country:US
Practice Address - Phone:916-734-7006
Practice Address - Fax:916-734-1357
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-08
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA208989163WC0400X, 163WP0218X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WC0400XNursing Service ProvidersRegistered NurseCase Management
Not Answered163WP0218XNursing Service ProvidersRegistered NursePediatric Oncology