Individual
CHADWICK THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
524 PINE GARDEN LN APT A, SACRAMENTO, CA 95825-5521
(916) 475-6078
Mailing address
524 PINE GARDEN LN APT A, SACRAMENTO, CA 95825-5521
(916) 475-6078
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN212619
CA
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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