Individual
MRS. RACQUEL LIZA PUNZALAN LABUTAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1100 VETERANS BLVD, REDWOOD CITY, CA 94063-2037
(650) 299-2195
Mailing address
4104 BRANSON DR, SAN MATEO, CA 94403-3613
(650) 346-3162
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
483689
CA
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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