LUIS CARLOS

MODESTO, CA
NPI1396542668
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  726006)
Enumeration Date2025-02-25
Last Update Date2025-02-25
Business Address
LUIS CARLOS
121 DOWNEY AVE
MODESTO, CA 95354-1208
Phone number: 209-341-1824
Mailing Address
LUIS CARLOS
121 DOWNEY AVE
MODESTO, CA 95354-1208
Phone number: 209-341-1824