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Individual

MR. MARC OMANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
315 CAMINO DEL REMEDIO, SANTA BARBARA, CA 93110-1332
(805) 681-5244
Mailing address
315 CAMINO DEL REMEDIO, SANTA BARBARA, CA 93110-1332
(805) 681-5244

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95124396
CA
164X00000X
Licensed Vocational Nurse
272890
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
272890
LVN LICENSE
CA
01
95124396
REGISTERED NURSE
CA
Enumeration date
05/05/2014
Last updated
11/12/2020
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