Provider Demographics
NPI:1285096008
Name:HARDCASLTE, SEAN (DVM)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:
Last Name:HARDCASLTE
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 INDUSTRIAL AVE
Mailing Address - Street 2:SUITE 13 & 14
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952-6503
Mailing Address - Country:US
Mailing Address - Phone:707-763-1222
Mailing Address - Fax:707-736-2199
Practice Address - Street 1:1120 INDUSTRIAL AVE
Practice Address - Street 2:SUITE 13 & 14
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952-6503
Practice Address - Country:US
Practice Address - Phone:707-763-1222
Practice Address - Fax:707-736-2199
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20501174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist