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Individual

GIGIROSE ACHANZAR SY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPSGT, CCSH

Contact information

Practice address
3600 BROADWAY, OAKLAND, CA 94611-5730
(510) 752-5242
Mailing address
3600 BROADWAY STE 36, OAKLAND, CA 94611-5730
(510) 752-5242

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
PTGL89
CA

Other

Enumeration date
12/17/2018
Last updated
12/17/2018
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