Doctor Name: | GRISELDA LIZETH PALACIOS TINAJERO |
NPI Number: | 1053783621 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BSN, RN |
License Number: | 95073512 |
Business Practice Address: | 130 E Leland Rd Ste C Pittsburg, CA - 945654954 |
Business Phone Number: | 9252529663 |
Business Fax Number: | |
Mailing Address: | 130 E Leland Rd Ste C, PITTSBURG |
State: | CA |
Postal Code: | 945654954 |
Phone Number: | 9252529663 |
Fax Number: | |
NPI Enumeration Date: | 10/22/2015 |
NPI Last Update Date: | 10/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 95073512 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |