Individual
ANDREA GUADALUPE VANCLEAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 BANCROFT AVE STE 125C, OAKLAND, CA 94605-2454
(510) 956-9923
Mailing address
22419 PERALTA ST, HAYWARD, CA 94541-3923
(510) 956-9923
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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