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MR. THOMAS MARTIN DESIMIO RN
Infusion Therapy >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1922102318
Individual Registrant:MR. THOMAS MARTIN DESIMIO RN
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
2126 DRAKE LN HERCULES, CA 94547-5464 US
Tel: 510-220-0706 Fax: 510-724-1576
Tel: 510-220-0706 Fax: 510-724-1576
Contact information for business:
2126 DRAKE LN HERCULES, CA 94547-5464 US
Tel: 510-220-0706 Fax: 510-724-1576
Tel: 510-220-0706 Fax: 510-724-1576
Registration Information:
NPI: 1922102318
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163WI0500X | Nursing Service Providers Registered Nurse Infusion Therapy | CA | 552866 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
