Individual
CELENE MESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25768 DURRWOOD CT, CASTRO VALLEY, CA 94552-5527
(510) 830-6110
Mailing address
25768 DURRWOOD CT, CASTRO VALLEY, CA 94552-5527
(510) 830-6110
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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