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Organization
MOBILE PICC NURSE LLC
Active
Organization
MOBILE PICC NURSE LLC
Active
Other names
Precision Vascular Access
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ROGERS MPH (PRESIDENT/CEO)
(619) 962-6985
Entity
Organization
Contact information
Practice address
10981 SAN DIEGO MISSION RD STE 112, SAN DIEGO, CA 92108-2448
(619) 693-7399
(877) 887-9814
Mailing address
10981 SAN DIEGO MISSION RD STE 112, SAN DIEGO, CA 92108-2448
(619) 693-7399
(877) 887-9814
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
NULL
Other
Enumeration date
10/17/2017
Last updated
07/02/2025
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