Balmaceda, Sophia Gabrielle Crisostomo

Balmaceda, Sophia Gabrielle Crisostomo is an individual health care provider with primary practice located at 34069 Gannon Ter , Fremont CA 94555-1941. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Balmaceda, Sophia Gabrielle Crisostomo can be contacted via phone (510) 688-8155.

Contact Information

Primary practice address
34069 Gannon Ter Fremont CA 94555-1941
Phone: (510) 688-8155
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1770341679
LBN Legal business name Balmaceda, Sophia Gabrielle Crisostomo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2024
Last updated Mar 6th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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