Individual
EVI CIRIACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3589 RAINSONG CIR, RANCHO CORDOVA, CA 95670-6983
(916) 846-3254
Mailing address
3589 RAINSONG CIR, RANCHO CORDOVA, CA 95670-6983
(916) 846-3254
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
165321
CA
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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