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Search › California › Administrator Registered Nurse

Christian Job

NPI 1083413058 · on the registry since 2025

Practice

Address
925 Bevins Ct
Lakeport, CA 95453
Phone
(707) 263-8382
Organisation at this address
Lake County Tribal Health Consortium Inc.
Lake County Tribal Health Consortium, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
43

Additional practice sites

  • 14440 Olympic Dr, Clearlake, CA

Registry record

Primary taxonomy
Administrator Registered Nurse
163WA2000X
Also registered as
Ambulatory Care Registered Nurse
Wound Care Registered Nurse
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California