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Individual

ADRIAN MUTUC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 428-1131
Mailing address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 428-1131

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
710013
CA

Other

Enumeration date
09/14/2021
Last updated
09/14/2021
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