Individual
LINDA VASSALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.F.A.
Contact information
Practice address
430 MARBLE CANYON CT, SAN RAMON, CA 94582-4829
(925) 735-6392
(925) 735-6392
Mailing address
430 MARBLE CANYON CT, SAN RAMON, CA 94582-4829
(925) 735-6392
(925) 735-6392
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
239561
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17896
HILL PHYSICIANS
CA
01
—
ZZZ46151Z
BLUE SHIELD
CA
Enumeration date
10/11/2006
Last updated
07/08/2007
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