Individual provider · Type 1 NPI
Christian Kenshin Job
Administrator Registered Nurse · Lakeport, CA
NPI number
1083413058
Active
Practice location
925 Bevins Ct
Lakeport, CA 95453-9754
Other practice locations
- 14440 Olympic Dr, Clearlake, CA 95422-8809 · (707) 263-8382
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 701025 (CA) |
| Wound Care Registered Nurse | 163WW0000X | 701025 (CA) |
| Administrator Registered Nurse Primary | 163WA2000X | 701025 (CA) |
Administrator Registered Nurse: Definition to come...
45 other providers at this address
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- Charissa M. Barsos, NPNurse Practitioner Lakeport, CA NPI 1215309398
- Dawn Pavli, RDNRegistered Dietitian Lakeport, CA NPI 1649896549
- Deborah Suzanne Johnson, LCSWClinical Social Worker Lakeport, CA NPI 1649333444
- Dorian Vincent de PaulePhysical Therapy Assistant Lakeport, CA NPI 1275415622
About NPI 1083413058
Christian Kenshin Job's National Provider Identifier is 1083413058, issued on Mar 11, 2025. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Lakeport, CA. The record was last updated on Mar 11, 2025.