Individual
VANESSA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
597 CENTER AVE, #150, MARTINEZ, CA 94553-4640
(925) 313-6250
(925) 313-6188
Mailing address
597 CENTER AVE, #150, MARTINEZ, CA 94553-4640
(925) 313-6188
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
79448
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/05/2011
Last updated
07/06/2011
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