Individual
AILEEN FLORENCE HAXO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7200 BANCROFT AVE STE 202, OAKLAND, CA 94605-2471
(510) 577-7080
(510) 577-7078
Mailing address
1000 BROADWAY STE 500, OAKLAND, CA 94607-4033
(510) 208-5930
(510) 267-3212
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
764721
CA
163WC0400X
Case Management Registered Nurse
Primary
764721
CA
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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