Individual
MS. LALEH REZAEI-HOMAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
901 CAMPUS DR STE 111, DALY CITY, CA 94015-4930
(650) 652-8720
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 652-8720
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95002540
CA
Other
Enumeration date
11/02/2012
Last updated
06/18/2020
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