Individual
MR. EDWARD A ESTANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN RN VABC CRNI
Contact information
Practice address
484 CALDARELLA CIR, ROSEVILLE, CA 95678-5972
(916) 975-5988
(916) 742-5728
Mailing address
484 CALDARELLA CIR, ROSEVILLE, CA 95678-5972
(916) 975-5988
(916) 742-5728
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
628410
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D5828103
DRIVER LICENSE
CA
Enumeration date
12/02/2021
Last updated
12/02/2021
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