Individual
JOSE LUIS TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1422 HARRISON ST, OAKLAND, CA 94612-3903
(510) 550-8770
(510) 893-1642
Mailing address
1422 HARRISON ST, OAKLAND, CA 94612-3903
(510) 550-8770
(510) 893-1642
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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