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LILIANA CAMPOS

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1770953622

Individual Registrant:
 LILIANA  CAMPOS 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
111 EUCLID AVE  SAN BRUNO, CA 94066-3139 US
Tel: 650-834-0965  Fax: --

Contact information for business:
111 EUCLID AVE  SAN BRUNO, CA 94066-3139 US
Tel: 650-834-0965  Fax: --

Registration Information:
NPI: 1770953622
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
94-1744108CA05




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