Individual
KAYE RESURRECCION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 MUIR RD, MARTINEZ, CA 94553-4668
(925) 370-4756
Mailing address
120 CHASE ST, VALLEJO, CA 94590-7010
(707) 641-3135
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00462387
CA
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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