Individual
ALFONSO DIAZ SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N., B.S.N., P.H.N.
Contact information
Practice address
1800 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-3302
(661) 868-0502
(661) 868-0218
Mailing address
1800 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-3302
(661) 868-0502
(661) 868-0218
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
548397
CA
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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