Healthcare Provider Details

I. General information

NPI: 1861989311
Provider Name (Legal Business Name): DANILO CURCIN CRNFA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2018
Last Update Date: 04/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W MINERAL KING AVE
VISALIA CA
93291
US

IV. Provider business mailing address

2271 SARATOGA CT
HANFORD CA
93230-7385
US

V. Phone/Fax

Practice location:
  • Phone: 559-624-2000
  • Fax:
Mailing address:
  • Phone: 559-589-3476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number537207
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: