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Individual

MRS. DIVINA MASAQUEL-SANTIAGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
8006 BRIAR OAKS DR, SAN RAMON, CA 94582-5172
(650) 580-3155
Mailing address
8006 BRIAR OAKS DR, SAN RAMON, CA 94582-5172
(650) 580-7253

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
22518
CA

Other

Enumeration date
05/17/2013
Last updated
05/17/2013
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