Organization
EDWARD KEATING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARIA LUZ PACHECO 793501 (R.N.)
(831) 840-9051
Entity
Organization
Contact information
Practice address
21 SECONDO WAY, ROYAL OAKS, CA 95076-5414
(831) 728-0421
Mailing address
16 SECONDO WAY, ROYAL OAKS, CA 95076-5415
(831) 840-9051
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
793501
CA
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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