Individual
ANNETTE MARIE MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 SAN LEANDRO BLVD, SAN LEANDRO, CA 94577-1536
(510) 957-6444
Mailing address
1133 SAN LEANDRO BLVD, SAN LEANDRO, CA 94577-1536
(510) 957-6444
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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