Individual
EISEL AQUINO TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1900 SULLIVAN AVE, DALY CITY, CA 94015-2200
(650) 991-6304
(650) 991-6540
Mailing address
39150 PASEO PADRE PKWY, 203, FREMONT, CA 94538-1612
(510) 505-1091
(510) 505-1111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP13561
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP13561
STATE LICENSE NUMBER
CA
Enumeration date
12/29/2006
Last updated
07/08/2007
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