Individual
ANNA CALVILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
176 LINDE CIR, MARINA, CA 93933-2205
(831) 316-2729
Mailing address
176 LINDE CIR, MARINA, CA 93933-2205
(831) 316-2729
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ92069Z
IN SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
Enumeration date
02/24/2014
Last updated
06/12/2023
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