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Individual

ALEC HAGEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
630 BERCUT DR STE C, SACRAMENTO, CA 95811-0110
(916) 441-3819
Mailing address
3111 S ST APT 306, SACRAMENTO, CA 95816-7064

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
719150
CA

Other

Enumeration date
08/11/2021
Last updated
08/11/2021
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