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Roland Jonathan Casiquin

Student in an Organized Health Care Education/Training Program in San Rafael, CA. Individual provider (NPI-1).

NPI number1104741586
StatusActive
Last updated in NPPESAug 12, 2026

Details

NPI
1104741586
Entity type
Individual (NPI-1)
Name
Roland Jonathan Casiquin
Sole proprietor
Yes
Enumeration date
Aug 12, 2026
Certification date
Aug 12, 2026
Last updated
Aug 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

50 Acacia Ave
San Rafael, CA 94901-2230

Phone 415-457-4440

Mailing address

50 Acacia Ave
San Rafael, CA 94901-2230

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