KENNETH BUENAVISTA

SACRAMENTO, CA
NPI1467974568
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  VN219863)
Enumeration Date2017-07-10
Last Update Date2017-07-10
Business Address
Mr. KENNETH BUENAVISTA Nurse
2150 STOCKTON BLVD
SACRAMENTO, CA 95817-1337
Phone number: 916-875-1000
Mailing Address
Mr. KENNETH BUENAVISTA Nurse
3419 SAVANNAH LN APT 1922
WEST SACRAMENTO, CA 95691-5987
Phone number: 916-914-4707