Sean Nisam

NPI #1003341777 in Vallejo, California

Provider Information

NPI Number: 1003341777
Entity Type: Individual
Name: Sean Nisam
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 1, 2017
Last Updated: Feb 11, 2022

Practice Location

Address: 975 SERENO DR
City: Vallejo
State: California
ZIP Code: 94589
Phone: (707) 651-4071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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