Dva Healthcare Renal Care INC

NPI #1942275953 in San Pablo, California

Provider Information

NPI Number
1942275953
Entity Type
Organization
Organization Name
Dva Healthcare Renal Care INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Feb 22, 2006
Last Updated
Aug 14, 2007

Practice Location

Address
14020 SAN PABLO AVE
ZIP Code
94806-3604
Phone
(510) 234-0835

Authorized Official

Name
THOMAS O USILTON JR.
Title
GROUP VICE PRESIDENT
Phone
(770) 541-7922

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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