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MR. MICHAEL CAESAR ISIP LVN
>> Licensed Vocational Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1609241256
Individual Registrant:MR. MICHAEL CAESAR ISIP LVN
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
5724 RAFFERTY AVE MCCLELLAN, CA 95652-2413 US
Tel: 916-621-8720 Fax: --
Tel: 916-621-8720 Fax: --
Contact information for business:
5724 RAFFERTY AVE MCCLELLAN, CA 95652-2413 US
Tel: 916-621-8720 Fax: --
Tel: 916-621-8720 Fax: --
Registration Information:
NPI: 1609241256
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 164X00000X | Nursing Service Providers Licensed Vocational Nurse | CA | VN 291582 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
