Individual
VANESSA SEGOVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 BATES AVE., SUITE B, CONCORD, CA 94520
(925) 421-5057
Mailing address
2500 BATES AVE STE B, CONCORD, CA 94520-1208
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
806622
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B8423426
DRIVER'S LICENSE
—
Enumeration date
09/27/2018
Last updated
09/27/2018
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