Individual
REVA JEAN ROYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1530 E 19TH ST, BAKERSFIELD, CA 93305-5406
(661) 631-5895
Mailing address
1530 E 19TH ST, BAKERSFIELD, CA 93305-5406
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
307054
CA
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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