Individual
CODY JAMES VLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19847 SANDPIPER PLACE, 138, NEWHALL, CA 91321
(661) 992-0517
Mailing address
19847 SANDPIPER PLACE, 138, NEWHALL, CA 91321
(661) 992-0517
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
P31150
CA
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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