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Individual

DONNA LAW EUGENIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RCP/CRTT

Contact information

Practice address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-4647
(510) 454-4631
Mailing address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-4647
(510) 454-4631

Taxonomy

Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
17864
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17864
CALIFORNIA BOARD OF RESPIRATORY CARE
CA
Enumeration date
12/07/2018
Last updated
02/11/2022
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