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Ms. Fairin I Antonio, LVNII
Licensed Vocational Nurse in Clearlake, California
NPI 1255491163

Fairin I Antonio is a Licensed Vocational Nurse based in Kelseyville, CA. Fairin I Antonio practices in Clearlake, CA and has the professional credentials of LVNII. The NPI Number for Fairin I Antonio is 1255491163 and holds a License No. VN169534 (California).

The current practice location address for Fairin I Antonio is 15145 A Lakeshore Dr, Clearlake, CA and can be reached out via phone at 707-994-7090 and via fax at 707-994-7096.

Location: 15145 A Lakeshore Dr, Clearlake, CA, 95451-9690
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255491163
Provider Name
Fairin I Antonio
Credential
LVNII
Provider Entity Type
Individual
Gender
Female
Address
15145 A Lakeshore Dr, Clearlake, CA, 95451-9690
Phone Number
707-994-7090
Fax Number
707-994-7096
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
15145 A Lakeshore Dr
City
Clearlake
State
California
Zip
95422
Phone Number
707-994-7090
Fax Number
707-994-7096
person
Provider Business Mailing Address Details
Address
15145 A Lakeshore Dr
City
Clearlake
State
California
Zip
95422
Phone Number
707-994-7090
Fax Number
707-994-7096
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
VN169534 (California)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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