Individual
MARY GRACE DIANELA AGUAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-1000
Mailing address
29206 CHUTNEY RD, HAYWARD, CA 94544-8711
(510) 303-9162
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
26686
CA
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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