Individual
JESSICA PAIGE CASTORENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
651 I ST, SACRAMENTO, CA 95814-2400
(916) 874-7362
Mailing address
2400 FORREST ST, SACRAMENTO, CA 95815-2419
(919) 921-1833
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
210859
CA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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