Provider Demographics
NPI:1760053557
Name:TURNER, AILEEN W (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:AILEEN
Middle Name:W
Last Name:TURNER
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4110 MARSTEN AVE
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-1259
Mailing Address - Country:US
Mailing Address - Phone:650-885-9977
Mailing Address - Fax:
Practice Address - Street 1:4110 MARSTEN AVE
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-1259
Practice Address - Country:US
Practice Address - Phone:650-274-6131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-02
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA-3252608