MICHAEL DONALD LUCCKETTA

CERES, CA
NPI1851611644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  V191854)
Enumeration Date2010-06-03
Last Update Date2010-06-03
Business Address
MR. MICHAEL DONALD LUCCKETTA LVN
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-541-2121
Mailing Address
MR. MICHAEL DONALD LUCCKETTA LVN
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-541-2121
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