Individual
MRS. ADELENE CHAN PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 INDUSTRIAL RD FL 2, SAN CARLOS, CA 94070
(650) 596-4030
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(310) 828-2382
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
19956
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376852335
—
CA
Enumeration date
09/24/2010
Last updated
06/03/2020
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