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1003310954
IIESKA SHUNATEL PACKARD
FRESNO, CA
NPI
1003310954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 691498)
Enumeration Date
2018-03-23
Last Update Date
2020-10-14
Business Address
IIESKA SHUNATEL PACKARD LVN
4441 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-600-9180
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Mailing Address
IIESKA SHUNATEL PACKARD LVN
4441 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-600-9171
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