person
Mary M Okimoto, NP
Pediatric Oncology Clinical Nurse Specialist in San Luis Obispo, California
NPI 1144400771

Mary M Okimoto is a Pediatric Oncology Clinical Nurse Specialist based in Santa Maria, CA and is specialized in Oncology, Pediatrics. Mary M Okimoto practices in San Luis Obispo, CA and has the professional credentials of NP. The NPI Number for Mary M Okimoto is 1144400771 and holds a License No. 17444 (California).

The current practice location address for Mary M Okimoto is 715 Tank Farm Road, San Luis Obispo, CA and can be reached out via phone at 805-543-5577 and via fax at 805-595-3231.

Location: 715 Tank Farm Road, San Luis Obispo, CA, 93458-2805
person
Provider Profile Details
NPI Number
1144400771
Provider Name
Mary M Okimoto
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
715 Tank Farm Road, San Luis Obispo, CA, 93458-2805
Phone Number
805-543-5577
Fax Number
805-595-3231
Provider Enumeration Date
11/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CB242811 01 CA MEDICARE ID
institution
Provider Business Practice Location Address Details
Address
715 Tank Farm Road
City
State
Zip
93401-7068
Phone Number
805-543-5577
Fax Number
805-595-3231
person
Provider Business Mailing Address Details
Address
715 Tank Farm Road
City
State
Zip
93401-7068
Phone Number
805-543-5577
Fax Number
805-595-3231
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Oncology, Pediatrics
Taxonomy
License No.
17444 (California)
Definition
Definition to come...
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