Individual
GERARDO ALFONSO FLORES AREVALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
345 E TRAVIS BLVD, FAIRFIELD, CA 94533-3958
(510) 759-4107
Mailing address
629 OAKLAND AVE, OAKLAND, CA 94611-4567
(510) 613-0330
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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