Individual
MRS. CLARISSA LAQUI DIMACALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA, HOME HEALTH AID
Contact information
Practice address
50 W. MANOR DR # 1393, PACIFICA, CA 94044
(650) 498-7442
Mailing address
P.O. BOX 1393, PACIFICA, CA 94044
(650) 438-9347
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
0039232800117875
CA
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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