BENNIE BACA

CERES, CA
NPI1265986814
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  VN186764)
Enumeration Date2016-08-12
Last Update Date2016-09-08
Business Address
Mr. BENNIE BACA LVN
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-312-7057
Mailing Address
Mr. BENNIE BACA LVN
1904 RICHLAND AVE
CERES, CA 95307
Phone number: 209-312-7057
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