Individual
MRS. LIDA CORNELIA VANGEEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22161 N 6TH ST, CASTRO VALLEY, CA 94546-7038
(971) 344-1424
Mailing address
22161 N 6TH ST, CASTRO VALLEY, CA 94546-7038
(971) 344-1424
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
310946
CA
Other
Enumeration date
08/31/2008
Last updated
12/20/2011
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