Individual
ANA MARIA CAMPO PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 39TH ST, RICHMOND, CA 94805
(510) 412-5930
(510) 412-0567
Mailing address
205 39TH ST, RICHMOND, CA 94805-2212
(510) 412-5930
(510) 412-0567
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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