Individual
CARMEN FRANCES BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
590 RIO LINDO AVE, CHICO, CA 95926-1817
Mailing address
7246 REMMET AVE, CANOGA PARK, CA 91303-1531
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
235549
CA
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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