Organization
GRATITUDE COLLABORATIVE HEALING A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY PEARSON (BILLER)
(925) 820-6456
Entity
Organization
Contact information
Practice address
5601 NORRIS CANYON RD STE 210, SAN RAMON, CA 94583-5407
(925) 820-6456
(925) 820-1134
Mailing address
5601 NORRIS CANYON RD STE 210, SAN RAMON, CA 94583-5407
(925) 820-6456
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316916224
MEDICAL CARE
CA
Enumeration date
05/09/2022
Last updated
10/03/2022
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