Individual
MICHAEL EUGENE MALLARI DE PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RCP
Contact information
Practice address
3600 BROADWAY, OAKLAND, CA 94611-5730
(510) 752-6538
Mailing address
3600 BROADWAY, OAKLAND, CA 94611-5730
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
37887
CA
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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