Individual
CHRISTOFFER CANSICIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
279 TOYON RD, UKIAH, CA 95482-6842
(707) 391-1415
Mailing address
279 TOYON RD, UKIAH, CA 95482-6842
(707) 391-1415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95028251
CA
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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