Individual
JOHN RASTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
2201 RIVER TRAILS CIR, RANCHO CORDOVA, CA 95670-2222
(202) 288-8222
Mailing address
2201 RIVER TRAILS CIR, RANCHO CORDOVA, CA 95670-2222
(202) 288-8222
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
293027
CA
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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