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MR. THOMAS MARTIN DESIMIO RN

Infusion Therapy >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1922102318

Individual Registrant:
MR. THOMAS MARTIN DESIMIO RN
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

Contact information for business:
2126 DRAKE LN  HERCULES, CA 94547-5464 US
Tel: 510-220-0706  Fax: 510-724-1576

Registration Information:
NPI: 1922102318
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WI0500XNursing Service Providers
Registered Nurse
Infusion Therapy
CA552866

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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