Individual
MR. DIMAS GIOVANNI CALVACHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
18601 VALLEY BLVD, BLOOMINGTON, CA 92316-1831
(909) 546-7520
Mailing address
18601 VALLEY BLVD, BLOOMINGTON, CA 92316-1831
(909) 546-7520
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95005889
CA
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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