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1184091464
RUELL EVANGELISTA DELA PENA
OAKLAND, CA
NPI
1184091464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2015-08-21
Last Update Date
2023-09-12
Business Address
RUELL EVANGELISTA DELA PENA
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-653-5040
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Mailing Address
RUELL EVANGELISTA DELA PENA
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
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