Individual
DONALD STRAWHACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 POTRERO ST, SUITE 102, SANTA CRUZ, CA 95060-2741
(831) 466-9307
Mailing address
303 POTRERO ST, SUITE 102, SANTA CRUZ, CA 95060-2741
(831) 466-9307
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 217087
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44AV
MEDI- CAL PRV NBR
CA
Enumeration date
04/30/2014
Last updated
04/30/2014
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