Individual
MS. LEA NAVAREZ GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
4560 HORTON ST, EMERYVILLE, CA 94608-2916
(510) 923-3526
Mailing address
4560 HORTON ST, EMERYVILLE, CA 94608-2916
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
19954
CA
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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