Most Relevant Information
Provider Data
| NPI Number: | 1003064296 |
| Provider Name: | LIDA CORNELIA VANGEEST |
| Entity Type: | Individual |
| Taxonomy Code: | 163WH0200X |
| Specialty: | Registered Nurse |
| License Number: | 310946 |
Most Important Dates
| Enumeration Date: | 08/31/2008 |
| Last Updated: | 12/20/2011 |
Provider Practice Location
22161 N 6TH ST
CASTRO VALLEY
CA
945467038
Practice Location Phone/Fax
| Phone: | 9713441424 |
| Fax: |
Provider Mailing Location
22161 N 6TH ST
CASTRO VALLEY
CA
945467038
Provider Mailing Phone/Fax
| Phone: | 9713441424 |
| Fax: |