Individual
MISS DENISE GAYTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVM
Contact information
Practice address
2600 EL CAMINO, SAN MATEO, CA 94403
(650) 393-8931
Mailing address
2455 ROYAL ANN DR, UNION CITY, CA 94587-4423
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
6915385
CA
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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