Individual
CHARLEMAGNE PREVILON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DRIVER
Contact information
Practice address
4323 CARMELO OAKS CT, SACRAMENTO, CA 95841-3474
(916) 532-0058
Mailing address
4323 CARMELO OAKS CT, SACRAMENTO, CA 95841-3474
(916) 532-0058
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
GNB32019-03411
CA
Other
Enumeration date
11/29/2019
Last updated
11/29/2019
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