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1528708419
CARISSA ANN VILLANUEVA
OAKLAND, CA
NPI
1528708419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-30
Last Update Date
2022-03-30
Business Address
CARISSA ANN VILLANUEVA MD
1411 E 31ST ST # 22134
OAKLAND, CA 94602-1018
Phone number: 510-437-4743
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Mailing Address
CARISSA ANN VILLANUEVA MD
1411 E 31ST ST # 22134
OAKLAND, CA 94602-1018
Phone number: 510-437-4743
Copy
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