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SAMANTHA ANN BRUNO LVN

>> Licensed Vocational Nurse >> Nursing Service Providers

Registrant NPI Number: 1295856029

Individual Registrant:
 SAMANTHA ANN BRUNO LVN
Gender: F
Sole Proprietor

Location and contact information for practice:
1808 POPPY LN  CERES, CA 95307-2227 US
Tel: 209-538-4360  Fax: --

Contact information for business:
PO BOX 104  RIPON, CA 95366-0104 US
Tel: 209-838-6828  Fax: --

Registration Information:
NPI: 1295856029
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164X00000XNursing Service Providers
Licensed Vocational Nurse
CAVN217048

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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