Individual
ESTANISLAO CASARES II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1025 E OCEAN AVE STE B, LOMPOC, CA 93436-7088
(805) 819-0582
Mailing address
515 E COOK ST, SANTA MARIA, CA 93454-5748
(805) 406-2530
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/08/2015
Last updated
08/01/2023
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