Individual
MR. GARY WILSON BARSUASKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4677 VALLEY WEST BLVD., ARCATA, CA 95521
(707) 822-5244
(707) 822-5442
Mailing address
PO BOX 362, CUTTEN, CA 95534
(707) 616-9086
(707) 822-5442
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
582770/12889
CA
363LX0106X
Occupational Health Nurse Practitioner
582770/12889
CA
Other
Enumeration date
06/27/2012
Last updated
07/05/2012
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