Michael Daven John Agarrado
Specialist in Sacramento, CA. Individual provider (NPI-1).
NPI number1750197075
StatusActive
Last updated in NPPESDec 10, 2024
Details
- NPI
- 1750197075
- Entity type
- Individual (NPI-1)
- Name
- Michael Daven John Agarrado
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2024
- Certification date
- Dec 10, 2024
- Last updated
- Dec 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
4610 X StSacramento, CA 95817-2200
Phone 916-816-4604
Mailing address
4610 X StSacramento, CA 95817-2200
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