Individual
MR. RAYMOND JAMES LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
1947 N CALIFORNIA ST STE B&C, STOCKTON, CA 95204-6029
(209) 463-0870
(209) 463-1803
Mailing address
1947 N CALIFORNIA ST STE B&C, STOCKTON, CA 95204-6029
(209) 463-0870
(209) 463-1803
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00818881
CA
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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