DEEARNEST ANTHONY MAXWELL

SACRAMENTO, CA
NPI1871157164
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-23
Last Update Date2019-04-23
Business Address
DEEARNEST ANTHONY MAXWELL
8325 SOUTHFIELDS CIR
SACRAMENTO, CA 95828-4924
Phone number: 916-578-4083
Mailing Address
DEEARNEST ANTHONY MAXWELL
7411 S LAND PARK DR APT 13
SACRAMENTO, CA 95831-5102
Phone number: 916-578-4083
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