Individual
LEWIS ANTHONY GOTICO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6687 RIPTIDE WAY, SACRAMENTO, CA 95831-2016
(209) 244-6570
Mailing address
6687 RIPTIDE WAY, SACRAMENTO, CA 95831-2016
(209) 244-6570
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
776003
CA
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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