MS. Fairin I Antonio, LVN II
NPI #1255491163 in Clearlake, California
Provider Information
- NPI Number
- 1255491163
- Entity Type
- Individual
- Name
- MS. Fairin I Antonio, LVN II
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Vocational Nurse
- Credential
- LVN II
- Enumeration Date
- Dec 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 15145 A LAKESHORE DR
- City
- Clearlake
- State
- California
- ZIP Code
- 95422
- Phone
- (707) 994-7090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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