Individual
WANDA EILEEN TACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 858-3934
Mailing address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 858-3934
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
199408
CA
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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