Individual
JERWIN REYES CANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
6100 MISSION ST, DALY CITY, CA 94014-2001
(650) 992-3900
Mailing address
343 ELLINGTON AVE, SAN FRANCISCO, CA 94112-4106
(415) 238-2396
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
716079
CA
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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