Individual
MRS. CHERYLL MAY VILLAMOR-MACINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
616 16TH ST, OAKLAND, CA 94612-1205
(510) 451-4270
Mailing address
616 16TH STREET, OAKLAND, CA 94612
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
22240
CA
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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