Elsa Guadalupe Pantoja Garcia
Registered Nurse, Ambulatory Care in Oakland, CA. Individual provider (NPI-1).
NPI number1982302659
StatusActive
Last updated in NPPESFeb 21, 2023
Details
- NPI
- 1982302659
- Entity type
- Individual (NPI-1)
- Name
- Elsa Guadalupe Pantoja Garcia
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2023
- Certification date
- Feb 21, 2023
- Last updated
- Feb 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP2201X | Registered Nurse, Ambulatory Care | 95282245 | CA | Yes |
Practice location
1411 E 31st StOakland, CA 94602-1018
Phone 510-437-4800
Mailing address
223 Vista Del MarSan Rafael, CA 94901-4811
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