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GENEMAR BALCITA
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1578924882
Individual Registrant: GENEMAR BALCITA
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
2728 LOOMIS ST LAKEWOOD, CA 90712-3315 US
Tel: 310-463-2286 Fax: --
Tel: 310-463-2286 Fax: --
Contact information for business:
2728 LOOMIS ST LAKEWOOD, CA 90712-3315 US
Tel: 310-463-2286 Fax: --
Tel: 310-463-2286 Fax: --
Registration Information:
NPI: 1578924882
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163W00000X | Nursing Service Providers Registered Nurse | CA | 642971 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
