Individual
CASEY WETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 BISSO LN, 100, CONCORD, CA 94520-4897
(925) 521-5620
Mailing address
4027 BOULDER DR, ANTIOCH, CA 94509-6234
(925) 457-8073
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95073992
CA
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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