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Mrs. Nimfa Realeza Punzalan, REGISTEREDNURSE
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fairfield, California
NPI 1902017064

Nimfa Realeza Punzalan is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Fairfield, CA. Nimfa Realeza Punzalan practices in Fairfield, CA and has the professional credentials of REGISTEREDNURSE. The NPI Number for Nimfa Realeza Punzalan is 1902017064 and holds a License No. (California).

The current practice location address for Nimfa Realeza Punzalan is 3313 El Pinole Way, Fairfield, CA and can be reached out via phone at 707-425-2202 and via fax at 707-425-6060.

Location: 3313 El Pinole Way, Fairfield, CA, 94533-7208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902017064
Provider Name
Nimfa Realeza Punzalan
Credential
REGISTEREDNURSE
Provider Entity Type
Individual
Gender
Female
Address
3313 El Pinole Way, Fairfield, CA, 94533-7208
Phone Number
707-425-2202
Fax Number
707-425-6060
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC61010F 01 CA PROVIDER IDENTIFICATION #
institution
Provider Business Practice Location Address Details
Address
3313 El Pinole Way
City
Fairfield
State
California
Zip
94533-7208
Phone Number
707-425-2202
Fax Number
707-425-6060
person
Provider Business Mailing Address Details
Address
3313 El Pinole Way
City
Fairfield
State
California
Zip
94533-7208
Phone Number
707-425-2202
Fax Number
707-425-6060
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
(California)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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