GIRLIE TACA DE LEON

SAN CARLOS, CA
NPI1831909241
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  721672)
Additional Taxonomies363LF0000X Nurse Practitioner Family
(Licence: CA  NP95033260)
Enumeration Date2025-01-08
Last Update Date2025-01-08
Business Address
GIRLIE TACA DE LEON NP
301 INDUSTRIAL RD
SAN CARLOS, CA 94070-2603
Phone number: 650-596-4163
Mailing Address
GIRLIE TACA DE LEON NP
301 INDUSTRIAL RD
SAN CARLOS, CA 94070-2603
Phone number: 650-596-4163