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MR. MICHAEL CAESAR ISIP LVN

>> Licensed Vocational Nurse >> Nursing Service Providers

Registrant NPI Number: 1609241256

Individual Registrant:
MR. MICHAEL CAESAR ISIP LVN
Gender: M
Sole Proprietor

Location and contact information for practice:
5724 RAFFERTY AVE  MCCLELLAN, CA 95652-2413 US
Tel: 916-621-8720  Fax: --

Contact information for business:
5724 RAFFERTY AVE  MCCLELLAN, CA 95652-2413 US
Tel: 916-621-8720  Fax: --

Registration Information:
NPI: 1609241256
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164X00000XNursing Service Providers
Licensed Vocational Nurse
CAVN 291582

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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