Organization
LA CLINICA DE LA RAZA
Active
Organization
LA CLINICA DE LA RAZA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BELKYS M GERONIMO RD (NUTRITIONIST LL)
(510) 535-2965
Entity
Organization
Contact information
Practice address
3451 E 12TH ST, OAKLAND, CA 94601-3463
(510) 535-2965
(510) 535-4128
Mailing address
POBOX 2210, OAKLAND, CA 94623
(510) 535-2965
(510) 535-4128
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
642175
IL
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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