Peter Badua Pac
NPI #1073816765 in Santa Clara, California
Provider Information
- NPI Number
- 1073816765
- Entity Type
- Organization
- Organization Name
- Peter Badua Pac
- Primary Specialty
- Registered Nurse - Registered Nurse First Assistant
- Enumeration Date
- Dec 18, 2010
- Last Updated
- Dec 18, 2010
Practice Location
- Address
- 53 CRONIN DR
- City
- Santa Clara
- State
- California
- ZIP Code
- 95051-6719
- Phone
- (408) 984-2455
Authorized Official
- Name
- MR. CHARLES DAMON FRACH, PHD
- Title
- OFFICE MANAGER
- Phone
- (408) 984-2455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
| Registered Nurse - Registered Nurse First Assistant — Registered Nurse First Assistant |
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