Provider Demographics
NPI:1922161074
Name:ZAMORA, CONCEPION QUIPIT (LVN LPN)
Entity Type:Individual
Prefix:MRS
First Name:CONCEPION
Middle Name:QUIPIT
Last Name:ZAMORA
Suffix:
Gender:F
Credentials:LVN LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5566 W ASHCROFT AVENUE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-3747
Mailing Address - Country:US
Mailing Address - Phone:559-275-4097
Mailing Address - Fax:
Practice Address - Street 1:5070 EAST BELGRAVIA
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93725
Practice Address - Country:US
Practice Address - Phone:559-255-3486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA192535164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse