ASTA IAH BAISA

SAN RAMON, CA
NPI1295210953
Former NameASTA IAH HAMAN-DICKO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95008367)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CA  95086184)
Enumeration Date2018-09-28
Last Update Date2018-10-24
Business Address
ASTA IAH BAISA RN, PHN, FNP-C
2455 SAN RAMON VALLEY BLVD
SAN RAMON, CA 94583-1601
Phone number: 866-389-2727
Mailing Address
ASTA IAH BAISA RN, PHN, FNP-C
2806 MARINA BLVD APT 4
SAN LEANDRO, CA 94577-4048
Phone number: 510-967-6703