Individual
AGBAYANI CARANTO JOAQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 WORKMAN ST., BAKERSFIELD, CA 93307
(559) 558-4051
Mailing address
3433 W SHAW AVE STE 103, FRESNO, CA 93711-3229
(559) 558-4051
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN273200
CA
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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