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Individual

MR. DARWIN RYAN ESPINO ALFONSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3612 ASTRAL DR, SACRAMENTO, CA 95827-3508
(650) 892-4148
Mailing address
3612 ASTRAL DR, SACRAMENTO, CA 95827-3508
(650) 892-4148

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
693296
CA
314000000X
Skilled Nursing Facility
693296
CA

Other

Enumeration date
10/01/2021
Last updated
10/01/2021
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