Individual provider · NPI-1
Jan Paolo Rasca Casanas
Technician, Other · San Leandro, CA
NPI number1447466503
StatusActive
Last updated in NPPESOct 30, 2009
Details
- NPI
- 1447466503
- Entity type
- Individual (NPI-1)
- Name
- Jan Paolo Rasca Casanas
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 15, 2007
- Last updated
- Oct 30, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
15942 Foothill BlvdSan Leandro, CA 94578-2102
Phone 510-317-1446
Mailing address
15942 Foothill BlvdSan Leandro, CA 94578-2102
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