Most Relevant Information
Provider Data
| NPI Number: | 1003339151 |
| Provider Name: | BIANCA MAGALLON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/20/2017 |
| Last Updated: | 07/20/2017 |
Provider Practice Location
1266 14TH ST
OAKLAND
CA
946072205
Practice Location Phone/Fax
| Phone: | 5102734700 |
| Fax: |
Provider Mailing Location
1266 14TH ST
OAKLAND
CA
946072205
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |