Individual provider · Type 1 NPI
Rudolph Calvin Cockerham, RN
Pediatric Registered Nurse · Pleasanton, CA
NPI number
1386469930
Active
Practice location
4151 W Las Positas Blvd
Pleasanton, CA 94588-4130
Mailing address
5758 W Las Positas Blvd
Pleasanton, CA 94588-4083
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | 425696 (CA) |
Pediatric Registered Nurse: Definition to come...
About NPI 1386469930
Rudolph Calvin Cockerham, RN's National Provider Identifier is 1386469930, issued on Nov 19, 2024. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Pleasanton, CA. The record was last updated on Nov 19, 2024.