Most Relevant Information
Provider Data
| NPI Number: | 1003407115 |
| Provider Name: | LATRICIA A AMADEO RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 602813 |
Most Important Dates
| Enumeration Date: | 02/01/2021 |
| Last Updated: | 02/01/2021 |
Provider Practice Location
20103 LAKE CHABOT RD
CASTRO VALLEY
CA
94546
Practice Location Phone/Fax
| Phone: | 2059155496 |
| Fax: |
Provider Mailing Location
PO BOX 1372
ALAMEDA
CA
945010148
Provider Mailing Phone/Fax
| Phone: | 2059155496 |
| Fax: |