Individual
INGELLE TANCIOCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1451 28TH AVE, OAKLAND, CA 94601-1632
(510) 261-9191
Mailing address
91 MONTCLAIR AVE, DALY CITY, CA 94015-4508
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
713778
CA
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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