Individual
TOMOKO TAKANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, CNS
Contact information
Practice address
1520 LOS MONTES DR, BURLINGAME, CA 94010-5964
(248) 703-4518
Mailing address
1520 LOS MONTES DR, BURLINGAME, CA 94010-5964
(248) 703-4518
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
4754
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4754
CLINICAL NURSE SPECIALIST
CA
Enumeration date
11/06/2018
Last updated
11/06/2018
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