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Mark G Batulan

Licensed Vocational Nurse in Campbell, CA. Individual provider (NPI-1).

NPI number1891201596
StatusActive
Last updated in NPPESDec 18, 2017

Details

NPI
1891201596
Entity type
Individual (NPI-1)
Name
Mark G Batulan
Sex
Male
Sole proprietor
No
Enumeration date
Dec 18, 2017
Last updated
Dec 18, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164X00000X Licensed Vocational Nurse285542CAYes

Practice location

251 Llewellyn Ave
Campbell, CA 95008-1940

Phone 408-379-3790

Mailing address

251 Llewellyn Ave
Campbell, CA 95008-1940

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