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Sean Nisam
Student in an Organized Health Care Education/Training Program in Vallejo, California
NPI 1003341777

Sean Nisam is a Student in an Organized Health Care Education/Training Program based in Mill Valley, CA. Sean Nisam practices in Vallejo, CA. The NPI Number for Sean Nisam is 1003341777 and holds a License No. (California).

The current practice location address for Sean Nisam is 975 Sereno Dr, Vallejo, CA and can be reached out via phone at 707-651-4071.

Location: 975 Sereno Dr, Vallejo, CA, 94941-3999
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003341777
Provider Name
Sean Nisam
Credential
Provider Entity Type
Individual
Gender
Male
Address
975 Sereno Dr, Vallejo, CA, 94941-3999
Phone Number
707-651-4071
Fax Number
Provider Enumeration Date
05/01/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
975 Sereno Dr
City
Vallejo
State
California
Zip
94589
Phone Number
707-651-4071
Fax Number
person
Provider Business Mailing Address Details
Address
975 Sereno Dr
City
Vallejo
State
California
Zip
94589
Phone Number
707-651-4071
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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