Provider Demographics
NPI:1144544891
Name:CONTRERAS, GLORIA MARIA (DC)
Entity type:Individual
Prefix:DR
First Name:GLORIA
Middle Name:MARIA
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 WASHINGTON AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:POINT RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94801-3979
Mailing Address - Country:US
Mailing Address - Phone:510-235-6455
Mailing Address - Fax:
Practice Address - Street 1:124 WASHINGTON AVE
Practice Address - Street 2:SUITE C
Practice Address - City:POINT RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94801-3979
Practice Address - Country:US
Practice Address - Phone:510-235-6455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-24
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23774111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor