Individual
EMILIO RECACHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 SAN FRANCISCO AVE, BRISBANE, CA 94005-1325
(661) 446-4603
Mailing address
425 SAN FRANCISCO AVE, BRISBANE, CA 94005-1325
(661) 446-4603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
631153
CA
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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