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Nataliya Panchenko Lcsw
Meals Provider in San Bruno, California
NPI 1598361487

Nataliya Panchenko Lcsw is a Meals Provider based in San Bruno, CA. Nataliya Panchenko Lcsw practices in San Bruno, CA. The NPI Number for Nataliya Panchenko Lcsw is 1598361487 and holds a License No. (California).

The current practice location address for Nataliya Panchenko Lcsw is 851 Cherry Ave Ste 27406, San Bruno, CA and can be reached out via phone at 650-539-8689 and via fax at 650-636-9434.

Location: 851 Cherry Ave Ste 27406, San Bruno, CA, 94066-2900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598361487
Provider Name
Nataliya Panchenko Lcsw
Credential
Provider Entity Type
Organization
Address
851 Cherry Ave Ste 27406, San Bruno, CA, 94066-2900
Phone Number
650-539-8689
Fax Number
650-636-9434
Provider Enumeration Date
12/07/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1234567 01 CA UNKNOWN
institution
Provider Business Practice Location Address Details
Address
851 Cherry Ave Ste 27406
City
San Bruno
State
California
Zip
94066-2900
Phone Number
650-539-8689
Fax Number
650-636-9434
person
Provider Business Mailing Address Details
Address
851 Cherry Ave Ste 27406
City
San Bruno
State
California
Zip
94066-2900
Phone Number
650-539-8689
Fax Number
650-636-9434
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Meals
Speciality
-
Taxonomy
174200000X
License No.
()
Definition
A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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