Individual
CHASITY QUILIZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9442 INTERNATIONAL BLVD, OAKLAND, CA 94603-1444
(510) 777-8448
Mailing address
9442 INTERNATIONAL BLVD, OAKLAND, CA 94603-1444
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN228434
CA
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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