Alfredo Javier Agustin III
Licensed Vocational Nurse in Sacramento, CA. Individual provider (NPI-1).
NPI number1437676160
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1437676160
- Entity type
- Individual (NPI-1)
- Name
- Alfredo Javier Agustin III
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 24, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 225095 | CA | Yes |
Practice location
3950 Bristlewood WaySacramento, CA 95823-6241
Phone 916-428-0743
Mailing address
3950 Bristlewood WaySacramento, CA 95823-6241
Phone 916-428-0743
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