Organization
CALAVERAS UNIFIED SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BELINDA ILLERS (SCHOOL NURSE)
(209) 754-2204
Entity
Organization
Contact information
Practice address
3304 HWY 12 BLDG B, SAN ANDREAS, CA 95249
(209) 754-2204
Mailing address
PO BOX 788, SAN ANDREAS, CA 95249-9001
(209) 754-2204
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
SS0561564
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SS0561564
—
CA
Enumeration date
01/31/2007
Last updated
08/22/2020
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