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Krista Courtney Dizon Dacasin

NPI Registration Record

Provider / OrganizationNPIDate Certified
KRISTA COURTNEY DIZON DACASIN13963435702020-10-11
Entity TypeIndividual
Provider Name Krista Courtney Dizon Dacasin MSN, APRN-CNP, FNP-C
Practice Office Address9890 CAPE VERDE DR
ELK GROVE, CA US
Practice Office Telephone6617428579
Mailing Address9890 CAPE VERDE DR
ELK GROVE, CA 957576329 US
Business Telephone6617428579
HPT Codes
CodeLicense NoState
363LF0000X PRIMARY832576 NV
OPI Codes

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