Individual
THERESA CAPITONOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
549 MAIN ST, VACAVILLE, CA 95688-3911
(530) 601-9696
Mailing address
549 MAIN ST, VACAVILLE, CA 95688-3911
(530) 601-9696
Taxonomy
Speciality
Code
Description
License number
State
364SN0800X
Neuroscience Clinical Nurse Specialist
Primary
184055
CA
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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