Individual
MR. CARLITO REDULLA AGUNOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.V.N
Contact information
Practice address
5070 E BELGRAVIA AVE, FRESNO, CA 93725-1239
(559) 255-3486
Mailing address
2644 N KATY AVE, FRESNO, CA 93722-6868
(559) 276-8102
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 211097
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EPS013350
—
CA
05
—
RVN001820
—
CA
Enumeration date
01/16/2007
Last updated
07/08/2007
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