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Individual

MATTHEW DEANGELIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
N.P.

Contact information

Practice address
2575 SAND HILL RD, MS# 25, MENLO PARK, CA 94025-7015
(650) 926-2281
Mailing address
231 SANTIAGO AVE, REDWOOD CITY, CA 94061-3332
(650) 444-3182

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
633583
CA
363LX0106X
Occupational Health Nurse Practitioner
Primary
21084
CA

Other

Enumeration date
02/03/2012
Last updated
02/03/2012
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