MARICRIS BERTOLANO DACUMOS

STANFORD, CA
NPI1083918445
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  23515)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: HI  APRN-1255)
363LF0000X Nurse Practitioner, Family
(Licence: MD  R173553)
Enumeration Date2010-12-28
Last Update Date2014-03-05
Business Address
Ms. MARICRIS BERTOLANO DACUMOS FNP
875 BLAKE WILBUR DRIVE
STANFORD, CA 94305
Phone number: 949-294-3474
Mailing Address
Ms. MARICRIS BERTOLANO DACUMOS FNP
265 DARLEY DR
VALLEJO, CA 94591-8504
Phone number: 949-294-3474