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1962048488
MELLANY ANN AQUINO
OAKLAND, CA
NPI
1962048488
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Former Name
MELLANY GLINO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA 95013266)
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
MELLANY ANN AQUINO PNP
3100 SUMMIT ST
OAKLAND, CA 94609-3412
Phone number: 510-428-3885
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Mailing Address
MELLANY ANN AQUINO PNP
290 PACIFICA DR
BRENTWOOD, CA 94513-1394
Phone number: 650-455-1562
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