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Organization
HOMETOWN NURSING LLC
Active
Organization
HOMETOWN NURSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO VILLANUEVA RN, BSN (LAB DIRECTOR)
(510) 459-8974
Entity
Organization
Contact information
Practice address
935 BANCROFT WAY, BERKELEY, CA 94710-2334
(510) 459-8974
Mailing address
935 BANCROFT WAY, BERKELEY, CA 94710-2334
(510) 459-8974
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
163WC1500X
Community Health Registered Nurse
Primary
—
NULL
163WC1500X
Community Health Registered Nurse
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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