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Individual
VINCE CASELLA
Active
Individual
VINCE CASELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95217544
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RN95217544
CA
Other
Enumeration date
05/30/2024
Last updated
09/08/2026
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