Individual
EUGENIA SAN LUIS TABERNERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 EAGLE RD BLDG 1, ALAMEDA, CA 94501-5100
(510) 437-3582
(510) 437-3611
Mailing address
1 EAGLE RD BLDG 1, ALAMEDA, CA 94501-5100
(510) 437-3582
(510) 437-3611
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
344918
CA
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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