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Individual

HERBERT BARNUEVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 EDMONDS RD, REDWOOD CITY, CA 94062-3813
(650) 367-1890
Mailing address
200 EDMONDS RD, REDWOOD CITY, CA 94062-3813

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95195186
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95195186
CA
Enumeration date
08/17/2020
Last updated
08/17/2020
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