Individual
KEVIN COSICO VALDEABELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19465 MEEKLAND AVE, HAYWARD, CA 94541-1942
(510) 940-3375
Mailing address
19465 MEEKLAND AVE, HAYWARD, CA 94541-1942
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary
00023261
CA
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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