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Individual

MRS. JANIS L SQUIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
795 WILLOW RD, VAMC MENLO PARK DIVISION, MENLO PARK, CA 94025
(650) 493-5000
(650) 617-2710
Mailing address
740 DALEHURST AVE, SAN MATEO, CA 94403-5038
(650) 574-0324

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
203063
CA

Other

Enumeration date
08/28/2006
Last updated
07/08/2007
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