Organization
LUCILE PACKARD CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARIA ROSALIE ERESMAS SIMON RN, CNS, PNP (PEDIATRIC NURSE PRACTITIONER)
(650) 497-8890
Entity
Organization
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8890
Mailing address
193 AYER LN, MILPITAS, CA 95035-4646
(408) 946-3640
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
15119
CA
Other
Enumeration date
07/06/2007
Last updated
08/22/2020
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