Provider Demographics
NPI:1376759027
Name:GEROULANOU, KLIO CHRISTOPOULOU (MA)
Entity Type:Individual
Prefix:MISS
First Name:KLIO
Middle Name:CHRISTOPOULOU
Last Name:GEROULANOU
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 WILLOW PASS RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-7930
Mailing Address - Country:US
Mailing Address - Phone:925-825-1793
Mailing Address - Fax:925-825-7094
Practice Address - Street 1:1333 WILLOW PASS RD
Practice Address - Street 2:SUITE 102
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-7930
Practice Address - Country:US
Practice Address - Phone:925-825-1793
Practice Address - Fax:925-825-7094
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program