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Individual

CASMIR EZIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1408 COMMERCIAL WAY STE A, BAKERSFIELD, CA 93309-0428
(661) 727-0000
Mailing address
1408 COMMERCIAL WAY STE A, BAKERSFIELD, CA 93309-0428
(661) 727-0000

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E5668
CA
213EP1101X
Primary Podiatric Medicine Podiatrist
41000363A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E5668
CA PODIATRY LICENSE
CA
Enumeration date
06/26/2017
Last updated
09/29/2021
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