CASEY QUINN L IBARRA

SAN JOSE, CA
NPI1154968188
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  VN702445)
Enumeration Date2019-12-10
Last Update Date2019-12-10
Business Address
CASEY QUINN L IBARRA LVN
950 W JULIAN ST
SAN JOSE, CA 95126-2719
Phone number: 408-292-9353
Mailing Address
CASEY QUINN L IBARRA LVN
32364 PAYNE ST
HAYWARD, CA 94544-8166
Phone number: