Individual
REGINA MARIE LUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1771 STOCKTON BLVD, SACRAMENTO, CA 95816-7040
(916) 453-3534
(916) 454-2012
Mailing address
1771 STOCKTON BLVD, SACRAMENTO, CA 95816-7040
(916) 453-3534
(916) 454-2012
Taxonomy
Speciality
Code
Description
License number
State
163WD1100X
Peritoneal Dialysis Registered Nurse
Primary
569472
CA
163WH0500X
Hemodialysis Registered Nurse
569472
CA
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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