Individual
AMANDA REENE MURILLO-RODRIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
280 17TH ST, OAKLAND, CA 94612-4124
(831) 682-2270
Mailing address
280 17TH ST, OAKLAND, CA 94612-4124
(510) 352-9890
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
287410
CA
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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