Individual
CALISTA NABORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
795 WILLOW RD, (180D), MENLO PARK, CA 94025-2539
(650) 614-9997
Mailing address
795 WILLOW RD, (180D), MENLO PARK, CA 94025-2539
(650) 614-9997
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
55353
TX
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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