LIESL FLORA PICCOLO

BERKELEY, CA
NPI1912338450
Former NameLIESL WEIMER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95022010)
Additional Taxonomies176B00000X Midwife
(Licence: CA  LM 345)
163W00000X Registered Nurse
(Licence: CA  RN95229608)
Enumeration Date2013-12-10
Last Update Date2022-07-26
Business Address
LIESL FLORA PICCOLO RN LM CPM PHN FNP-C
837 ADDISON ST
BERKELEY, CA 94710-2047
Phone number: 510-941-4100
Mailing Address
LIESL FLORA PICCOLO RN LM CPM PHN FNP-C
530 41ST ST APT 12
OAKLAND, CA 94609-2440
Phone number: 510-277-2627