Provider Demographics
NPI:1063234599
Name:MILANO, RAIZA JOVY LIAA ORIEL (BSN, RN, CNOR)
Entity type:Individual
Prefix:MRS
First Name:RAIZA JOVY LIAA
Middle Name:ORIEL
Last Name:MILANO
Suffix:
Gender:F
Credentials:BSN, RN, CNOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:843 BYRON DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-2102
Mailing Address - Country:US
Mailing Address - Phone:562-521-2058
Mailing Address - Fax:
Practice Address - Street 1:843 BYRON DR
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-2102
Practice Address - Country:US
Practice Address - Phone:562-521-2058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95126416163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse