Individual
CHEYENNE XOCHITL LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
709 5TH AVE, SAN RAFAEL, CA 94901-3202
(669) 444-2132
Mailing address
709 5TH AVE, SAN RAFAEL, CA 94901-3202
(510) 912-0122
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
07/31/2023
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