Louella Ilog

NPI 1780089706 - Counselor - 101Y00000X

NPI Details
NPI 1780089706
Gender Female
Enumeration Date 11/03/2014
Last Updated 06/29/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
5674 STONERIDGE DR
PLEASANTON CA, 94588-8500, US
Phone (925) 520-0005
Fax
Business Location
5674 STONERIDGE DR STE 207
PLEASANTON CA, 94588-8592, US
Phone
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Louella Ilog NPI is 1780089706, taxonomy code is 101Y00000X Louella Ilog physically located at 5674 Stoneridge Dr, Pleasanton CA, 94588-8500. NPI Number Louella Ilog has the Individual type.

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1780089706 NPI number is provided on an as is basis without warranty of any kind. 1780089706 is maintained by the National Plan & Provider Enumeration System. The contents of Louella Ilog are for informational purposes only.