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Individual

TARA LYNN VALCARCEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CPNP

Contact information

Practice address
533 PARNASSUS AVE # U-127, BOX 0107, SAN FRANCISCO, CA 94143-2208
(415) 502-4258
(415) 502-7540
Mailing address
533 PARNASSUS AVE # U-127, BOX 0107, SAN FRANCISCO, CA 94143-2208
(415) 502-4258
(415) 502-7540

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
706683
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
19784
CA

Other

Enumeration date
03/31/2009
Last updated
01/11/2011
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