Organization
CENTER FOR ANTI-AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL M ALLENDE R.N. (OWNER)
(925) 838-9996
Entity
Organization
Contact information
Practice address
588 SAN RAMON VALLEY BLVD, STE 100, DANVILLE, CA 94526-4086
(925) 838-9996
(530) 676-5487
Mailing address
588 SAN RAMON VALLEY BLVD, STE 100, DANVILLE, CA 94526-4086
(925) 838-9996
(530) 676-5487
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
781895
CA
174400000X
Specialist
Primary
G28372
CA
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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