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Organization

PROWOUND LLC

Active
Other names
PROWOUND
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES VINCENT DELEON LUMBOY NP (OWNER)
(510) 387-6708
Entity
Organization

Contact information

Practice address
311 OAK ST APT 511, OAKLAND, CA 94607-4606
(510) 387-6708
Mailing address
311 OAK ST APT 511, OAKLAND, CA 94607-4606
(510) 387-6708

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary

Other

Enumeration date
06/13/2024
Last updated
06/13/2024
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