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Individual provider · Psychiatric/Mental Health Registered Nurse · Martinez, CA

NPI
1982443552
Type
Individual (Type 1)
Primary specialty
Psychiatric/Mental Health Registered Nurse (Registered Nurse)
Specialty group
Nursing Service Providers
Taxonomy code
163WP0808X
License number
95248063 (CA)
Sex
Male
Sole proprietor
No
Enumerated
2024-05-22
Last updated
2024-05-22
Practice location
1340 Arnold Dr Ste 110
Martinez, CA 94553-4189
(925) 387-9808

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