Individual
GINGI CLEOPATRI CORAZON ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3569 MORNINGSIDE DR, EL SOBRANTE, CA 94803-2520
(510) 467-4486
Mailing address
3569 MORNINGSIDE DR, EL SOBRANTE, CA 94803-2520
(510) 467-4486
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
174H00000X
Health Educator
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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