New Age Infusions
Registered Nurse, Infection Control in San Ramon, CA. Organization (NPI-2).
NPI number1669920658
StatusActive
Last updated in NPPESSep 19, 2016
Details
- NPI
- 1669920658
- Entity type
- Organization (NPI-2)
- Legal business name
- New Age Infusions
- Organization subpart
- No
- Enumeration date
- Sep 19, 2016
- Last updated
- Sep 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WI0600X | Registered Nurse, Infection Control | – | – | Yes |
Practice location
2545 Twin Creeks DrSan Ramon, CA 94583-1860
Phone 510-415-5921
Mailing address
2545 Twin Creeks DrSan Ramon, CA 94583-1860
Phone 510-415-5921
Authorized official
Lornise Denee Logan-Berry
Owner
5104155921
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