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Organization
LUCILE PACKARD CHILDREN'S HOSPITAL
Active
Organization
LUCILE PACKARD CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARIA ROSALIE ERESMAS SIMON RN, CNS, PNP (PEDIATRIC NURSE PRACTITIONER)
(650) 497-8890
Entity
Organization
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8890
Mailing address
193 AYER LN, MILPITAS, CA 95035-4646
(408) 946-3640
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
15119
CA
Other
Enumeration date
07/06/2007
Last updated
08/22/2020
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