MONICA SAN BASILIO

OAKLAND, CA
NPI1033587126
Former NameMONICA HEINZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  NP95002543)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: CA  95002543)
Enumeration Date2015-09-08
Last Update Date2022-01-26
Business Address
MONICA SAN BASILIO FNP
3451 E 12TH ST
OAKLAND, CA 94601-3463
Phone number: 510-535-3500
Mailing Address
MONICA SAN BASILIO FNP
1621 SANTA CLARA AVE
ALAMEDA, CA 94501-2536
Phone number: 415-225-8626