Organization
HEARTWOOD HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE V GILMORE RN,MSN,NP (PRESIDENT)
(510) 339-1513
Entity
Organization
Contact information
Practice address
6114 LA SALLE AVE # 221, OAKLAND, CA 94611-2802
(510) 339-1513
Mailing address
6114 LA SALLE AVE # 221, OAKLAND, CA 94611-2802
(510) 339-1513
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
G308288
CA
Other
Enumeration date
06/15/2007
Last updated
08/22/2020
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