Individual
CIELO ANGELA D. TIMBOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
510 17TH ST, OAKLAND, CA 94612-1553
(510) 830-3900
Mailing address
3480 CARRILLO DR, SAN LEANDRO, CA 94578-4014
(510) 703-0999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95391806
CA
164X00000X
Licensed Vocational Nurse
720478
CA
Other
Enumeration date
06/05/2024
Last updated
11/22/2024
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