Individual
CARMEN LILIANA ESCOBAR BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 39TH ST, RICHMOND, CA 94805-2212
(510) 412-5930
Mailing address
205 39TH ST, RICHMOND, CA 94805-2212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/16/2014
Last updated
02/09/2015
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