Individual
MR. ERIC LANE SILVIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2340 18TH AVENUE, KINGSBURG, CA 93631
(402) 730-2071
Mailing address
2340 18TH AVENUE, KINGSBURG, CA 93631
(402) 730-2071
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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