Individual
MICHELLE ZABALA CABUGAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
7255 SEAGLASS DR, VALLEJO, CA 94591-8711
(707) 315-6899
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
802533
CA
363L00000X
Nurse Practitioner
95001248
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
10847823-4406
UT
Other
Enumeration date
01/01/2020
Last updated
11/11/2021
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