Individual
ANIEFIOK GAULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 ESTUDILLO AVE STE 201, SAN LEANDRO, CA 94577-4717
(510) 221-6233
Mailing address
333 ESTUDILLO AVE STE 201, SAN LEANDRO, CA 94577-4717
(510) 221-6233
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/10/2024
Last updated
08/26/2024
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