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CARSON TWISS

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1285303750

Individual Registrant:
 CARSON  TWISS 
Gender: M
Sole Proprietor

Location and contact information for practice:
45 LAUREL GROVE AVE  ROSS, CA 94957-9664 US
Tel: 415-300-6091  Fax: --

Contact information for business:
PO BOX 422  ROSS, CA 94957-0422 US
Tel: 415-300-6091  Fax: --

Registration Information:
NPI: 1285303750
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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