WISAL FARE

SAN LEANDRO, CA
NPI1578525598
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy364SA2200X Clinical Nurse Specialist, Adult Health
(Licence: CA  PA13725)
Enumeration Date2006-04-05
Last Update Date2014-09-23
Business Address
-- WISAL FARE PA-C
13851 E 14TH ST STE 305
SAN LEANDRO, CA 94578-2631
Phone number: 510-351-1193
Mailing Address
-- WISAL FARE PA-C
4721 DALLAS RANCH RD
ANTIOCH, CA 94531-8811
Phone number: 925-778-0679
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