Individual
BERENICE ALEJANDRINA NIETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1000 SAN LEANDRO BLVD, SAN LEANDRO, CA 94577-1598
(510) 618-3735
(510) 667-3139
Mailing address
1302 PACIFIC AVE, SAN LEANDRO, CA 94577-2517
(510) 506-1135
(510) 667-3139
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
174400000X
Specialist
105-22276
CA
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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