Individual
EMILIO ALFREDO PAEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6325 FAIR OAKS BLVD, CARMICHAEL, CA 95608-4809
(916) 480-0979
Mailing address
1296 MATLACK ST, LINCOLN, CA 95648-8885
(424) 386-5930
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN704162
CA
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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