Individual
DAVID UNTALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
8086 ORANGE AVE, FAIR OAKS, CA 95628-5941
(916) 779-9056
Mailing address
7298 AMHERST ST, SACRAMENTO, CA 95822-4754
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
725146
CA
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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