Individual
ANNA-LIZA PACAOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
227 BRIDGE ST, ARROYO GRANDE, CA 93420-3311
(805) 474-3000
Mailing address
227 BRIDGE ST, ARROYO GRANDE, CA 93420-3311
(805) 474-3000
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
610899
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610899
RN LICENSE
CA
Enumeration date
05/30/2019
Last updated
03/06/2024
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