PHILIP STALEY

BERKELEY, CA
NPI1871023630
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA  95048577)
Enumeration Date2017-06-14
Last Update Date2017-06-14
Business Address
PHILIP STALEY RN
1890 ALCATRAZ AVENUE
BERKELEY, CA 94608
Phone number: 510-981-7643
Mailing Address
PHILIP STALEY RN
1890 ALCATRAZ AVE
BERKELEY, CA 94703-2715
Phone number: 510-981-7643
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