Individual
VICKI DIANE CASELLA-GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CNS, RN
Contact information
Practice address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-4692
Mailing address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-4692
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
296530
CA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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