Individual
ANNA MARIE PEREZ MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
818 WEBSTER ST, OAKLAND, CA 94607-4220
(510) 735-3151
Mailing address
15131 SHINING STAR LN, SAN LEANDRO, CA 94579-1973
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
729465
CA
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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