Individual
BRYAN LAWRENCE COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.V.N., R.N.
Contact information
Practice address
3331 S PORT DR, SACRAMENTO, CA 95826-4553
(919) 850-5686
Mailing address
PO BOX 2692, ORANGEVALE, CA 95662-7403
(919) 850-5686
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95110941
CA
164X00000X
Licensed Vocational Nurse
214668
CA
Other
Enumeration date
06/10/2014
Last updated
11/15/2016
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