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Organization
A LEG UP OF NORTHERN CA
Active
Organization
A LEG UP OF NORTHERN CA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN LEVINE (OWNER/OFFICER)
(510) 523-4143
Entity
Organization
Contact information
Practice address
535 S SHORE CTR W, #121, ALAMEDA, CA 94501-5725
(510) 523-4143
Mailing address
535 S SHORE CTR W, #121, ALAMEDA, CA 94501-5725
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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