Individual
IRENE PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6501 COYLE AVE, CARMICHAEL, CA 95608-0306
(916) 537-5374
Mailing address
6501 COYLE AVE, CARMICHAEL, CA 95608-0306
(916) 537-5374
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95045404
CA
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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