Individual
SALUSTIANO RIBEIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 JERROLD AVE APT 311, SAN FRANCISCO, CA 94124-3045
(510) 910-2296
Mailing address
50 JERROLD AVE APT 311, SAN FRANCISCO, CA 94124-3045
(510) 910-2296
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
16176
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16176
CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, CERTIFIED PHLEBOTOMIST
CA
Enumeration date
09/28/2018
Last updated
01/06/2021
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