Individual
JOHNNALYN MOSES DE DIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
248 REDWOOD AVE, REDWOOD CITY, CA 94061-3074
(650) 839-1076
Mailing address
2600 S EL CAMINO REAL STE 200, SAN MATEO, CA 94403-2382
(650) 839-1076
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
693786
CA
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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