Individual
MR. MICHAEL JOHN FLORES ESTEBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
9999 FERRAGAMO WAY, ELK GROVE, CA 95757-3037
(707) 246-6513
Mailing address
9999 FERRAGAMO WAY, ELK GROVE, CA 95757-3037
(707) 246-6513
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
581636
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
581636
BRN
CA
Enumeration date
05/06/2013
Last updated
05/06/2013
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