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GENEMAR BALCITA

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1578924882

Individual Registrant:
 GENEMAR  BALCITA 
Gender: M
Sole Proprietor

Location and contact information for practice:
2728 LOOMIS ST  LAKEWOOD, CA 90712-3315 US
Tel: 310-463-2286  Fax: --

Contact information for business:
2728 LOOMIS ST  LAKEWOOD, CA 90712-3315 US
Tel: 310-463-2286  Fax: --

Registration Information:
NPI: 1578924882
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
CA642971

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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