Individual
EDJEMAR XYRIL PADERNA LOSITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3302 OWL CT, WEST SACRAMENTO, CA 95691-6453
(916) 579-9998
Mailing address
3302 OWL CT, WEST SACRAMENTO, CA 95691-6453
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
95035992
CA
163WM0705X
Medical-Surgical Registered Nurse
95035992
CA
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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