Individual
DESIREE ANGULO REANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7611 PRINCESS DIANA CT, VALLEJO, CA 94591-8558
(415) 806-1075
Mailing address
7611 PRINCESS DIANA CT, VALLEJO, CA 94591-8558
(415) 806-1075
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
726246
CA
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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