Individual
TORA A. NEWCOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3080 LA SELVA ST, SAN MATEO, CA 94403-2109
(650) 573-2197
Mailing address
3080 LA SELVA ST, SAN MATEO, CA 94403-2109
(650) 573-2197
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
521861
CA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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