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Individual

RIA PAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
750 WELCH RD, PALO ALTO, CA 94304-1507
(650) 736-0885
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
A164035
CA
2084N0600X
Clinical Neurophysiology Physician
Primary
A164035
CA

Other

Enumeration date
03/30/2018
Last updated
08/07/2024
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