Organization
LUCILE PACKARD CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SONG HAYES (PEDIATRIC NURSE PRACTITIONER)
(415) 613-6181
Entity
Organization
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
95004837
CA
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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