Individual
JOSHUA VASCONCELLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 EDMONDS RD, REDWOOD CITY, CA 94062-3813
(650) 374-2005
Mailing address
260 EDMONDS RD, REDWOOD CITY, CA 94062-3813
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95191333
CA
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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