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Israel Pichardo

Case Manager/Care Coordinator in Eureka, CA. Individual provider (NPI-1).

NPI number1508307828
StatusActive
Last updated in NPPESMar 20, 2017

Details

NPI
1508307828
Entity type
Individual (NPI-1)
Name
Israel Pichardo
Sex
Male
Sole proprietor
No
Enumeration date
Mar 20, 2017
Last updated
Mar 20, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

3300 Glenwood St
Eureka, CA 95501-3463

Phone 707-298-0505

Mailing address

1142 Buttermilk Ln
Apt A
Arcata, CA 95521-6904

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