Individual
ANTHONY NALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
150 MUIR RD, MARTINEZ, CA 94553-4668
(925) 372-2554
Mailing address
150 MUIR RD, MARTINEZ, CA 94553-4668
(925) 372-2554
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
275975
CA
Other
Enumeration date
05/26/2014
Last updated
05/26/2014
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