Individual
MRS. ROSALIE CANDELARIO TAGLE-KLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
256 24TH ST, RICHMOND, CA 94804-1804
(510) 374-3467
Mailing address
256 24TH ST, RICHMOND, CA 94804-1804
(510) 374-3467
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
458819
CA
Other
Enumeration date
11/17/2007
Last updated
11/17/2007
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