Individual
BENITO GUIJARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3301 E 12TH ST, OAKLAND, CA 94601-3424
(510) 269-9030
Mailing address
3301 E 12TH ST, OAKLAND, CA 94601-3424
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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