Individual
MR. MICHAEL A IRETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2030 PAJARO LN APT 4108, FREEDOM, CA 95019-2930
(831) 228-1197
Mailing address
2030 PAJARO LN APT 4108, FREEDOM, CA 95019-2930
(831) 228-1197
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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