Individual
MICHAEL WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1200 INTREPID AVE, PHILADELPHIA, PA 19112-1229
(800) 748-3243
Mailing address
4241 N WATERSIDE DR, CLOVIS, CA 93619-4704
(559) 630-0595
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN95288568
CA
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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