Individual
MR. JESUS RHAYMANN LAGMAN TUPAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
7529 GEORGICA WAY, SACRAMENTO, CA 95822-5835
(916) 203-9978
Mailing address
7529 GEORGICA WAY, SACRAMENTO, CA 95822-5835
(916) 203-9978
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
95284896
CA
Other
Enumeration date
07/06/2023
Last updated
07/27/2023
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