Individual
CATHERINE JEAN SACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2452 WILSHIRE ST, RIVERSIDE, CA 92501-2144
(951) 682-6631
Mailing address
2743 ORANGE ST, RIVERSIDE, CA 92501-2503
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
199561
CA
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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