Individual
MONA LISA PALACIO FORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2751 NAPA VALLEY CORPORATE DR BLDG B, NAPA, CA 94558-6216
(707) 210-2437
Mailing address
555 ALASKA AVE APT 54, FAIRFIELD, CA 94533-7437
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
95249342
CA
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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