Healthcare Provider Details

I. General information

NPI: 1508204702
Provider Name (Legal Business Name): EUFEMIA KAZMER-MURILLO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2013
Last Update Date: 12/28/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 SHADELANDS DR
WALNUT CREEK CA
94598-2525
US

IV. Provider business mailing address

2820 SHADELANDS DR
WALNUT CREEK CA
94598-2525
US

V. Phone/Fax

Practice location:
  • Phone: 925-768-0191
  • Fax:
Mailing address:
  • Phone: 925-768-0191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: