Individual
ARIANA ALIZE HEREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 E 28TH ST, OAKLAND, CA 94606-3268
(510) 881-6232
Mailing address
1340 E 28TH ST, OAKLAND, CA 94606-3268
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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