Individual
DAVE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1133 COLOMA WAY, ROSEVILLE, CA 95661-4480
(916) 774-6647
Mailing address
7246 REMMET AVE, CANOGA PARK, CA 91303-1531
(818) 206-0360
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
161917
CA
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
About Stedi
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