Mr Paul Leland Carmickle Iii, LPN | |
Bld 510 Parks Rfta, Dublin, CA 94568 | |
(925) 875-4037 | |
(925) 875-4028 |
Full Name | Mr Paul Leland Carmickle Iii |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | Bld 510 Parks Rfta, Dublin, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700800836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | VN216078 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Paul Leland Carmickle Iii, LPN 249 Timber Wolf Ct, Dublin, CA 94568-4316 Ph: (301) 524-7044 | Mr Paul Leland Carmickle Iii, LPN Bld 510 Parks Rfta, Dublin, CA 94568 Ph: (925) 875-4037 |
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