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NPI Code Detail

MEDICARE: WILLIAM J HAYES JR. LVN

MEDICARE: WILLIAM J HAYES JR. LVN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational Nurse734360CA

General Provider Information

NPI Number : 1740534452
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM J HAYES JR. LVN
Provider Business Mailing Address
First Line : 2081 N OXNARD BLVD # 128
Second Line :
City : OXNARD
State : CA
Zip : 93036-2964
Country : US
Telephone Number : 805-205-5866
Fax Number :
Provider Business Practice Location Address
First Line : 2150 N VICTORIA AVE
Second Line :
City : OXNARD
State : CA
Zip : 93036-7791
Country : US
Telephone Number : 805-382-6296
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2012
Last Update Date : 09/23/2024

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