LETICIA LACANILAO BALLESTEROS

CONCORD, CA
NPI1912051442
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA  516042)
Enumeration Date2007-01-22
Last Update Date2007-07-08
Business Address
-- LETICIA LACANILAO BALLESTEROS RN
1420 WILLOW PASS RD
CONCORD, CA 94520-5223
Phone number: 925-646-5480
Mailing Address
-- LETICIA LACANILAO BALLESTEROS RN
114 MATTHEW CT
VALLEJO, CA 94591-4171
Phone number: 707-553-1385
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