Individual
ERNESTO CUELLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1782 B ST, HAYWARD, CA 94541-3102
(510) 270-5027
Mailing address
1782 B ST, HAYWARD, CA 94541-3102
(510) 270-5027
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
726468
CA
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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