Individual
MARY O'MALLEY CONTRERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 7TH ST, NOVATO, CA 94945-2293
(415) 493-4265
Mailing address
1015 7TH ST, NOVATO, CA 94945-2293
(415) 493-4265
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
516495
CA
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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