Individual
ANNA MAE BAMBAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2296 COUNTRY DR, FREMONT, CA 94536-5315
(510) 792-3555
Mailing address
2296 COUNTRY DR, FREMONT, CA 94536-5315
(510) 792-3555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
713946
CA
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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