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JASON AMICK

>> Home Health Aide >> Nursing Service Related Providers

Registrant NPI Number: 1831851419

Individual Registrant:
 JASON  AMICK 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
716 PINOT NOIR DR  LODI, CA 95240-7408 US
Tel: 209-715-4814  Fax: --

Contact information for business:
716 PINOT NOIR DR  LODI, CA 95240-7408 US
Tel: 209-715-4814  Fax: --

Registration Information:
NPI: 1831851419
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y374U00000XNursing Service Related Providers
Home Health Aide

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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