VON SEVILLA

MODESTO, CA
NPI1497122956
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  VN236725)
Enumeration Date2015-08-31
Last Update Date2015-08-31
Business Address
-- VON SEVILLA
2200 STANDIFORD AVE APT 296
MODESTO, CA 95350-6559
Phone number: 562-292-0576
Mailing Address
-- VON SEVILLA
2200 STANDIFORD AVE APT 296
MODESTO, CA 95350-6559
Phone number: 562-292-0576