Individual
CRISTINA DUENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(209) 946-3400
Mailing address
1915 BELMONT PL, MANTECA, CA 95337-8417
(510) 432-5234
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720428410
UNLICENSED SOCIAL WORK
CA
Enumeration date
06/27/2013
Last updated
01/25/2022
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