Individual
BO GAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 REDWOOD BLVD, NOVATO, CA 94947-5300
(415) 260-6486
Mailing address
1102 REDWOOD BLVD, NOVATO, CA 94947-5300
(415) 260-6486
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
735329
CA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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