Individual
MR. GREGORY RAND DYCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7307 PERERA CIR, SACRAMENTO, CA 95831-4527
(916) 832-4734
Mailing address
7307 PERERA CIR, SACRAMENTO, CA 95831-4527
(916) 832-4734
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
377451
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RVN001550
MEDI-CAL
CA
Enumeration date
08/10/2007
Last updated
03/30/2010
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