Individual
DANIEL NICHOLAS MORTIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
25 ALLEN STREET MARTINEZ, CA 94553, MARTINEZ, CA 94513
(925) 353-6841
Mailing address
25 ALLEN STREET, MARTINEZ, CA 94553
(925) 353-6841
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
276234
CA
Other
Enumeration date
05/06/2024
Last updated
06/07/2024
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