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Individual

AEINNA K CANLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN

Contact information

Practice address
2608 CENTRAL AVE, UNION CITY, CA 94587-3148
(925) 520-0005
Mailing address
5674 STONERIDGE DR, PLEASANTON, CA 94588-8500
(925) 520-0005

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
174400000X
Specialist

Other

Enumeration date
11/20/2020
Last updated
04/26/2021
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