Individual
JUAN PABLO RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
3441 DATA DR APT 368, RANCHO CORDOVA, CA 95670-7996
(915) 205-0215
Mailing address
3441 DATA DR APT 368, RANCHO CORDOVA, CA 95670-7996
(915) 205-0215
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
685785
CA
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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