Individual
TIA DALIPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4612 ROOSEVELT AVE, SACRAMENTO, CA 95820-4520
(916) 457-3129
Mailing address
18225 HALE AVE, MORGAN HILL, CA 95037-3547
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
CA
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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