Individual
MS. DIANE CORA BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
521 W GRAND AVE, OAKLAND, CA 94612-1649
(510) 663-7313
(510) 663-5908
Mailing address
521 W GRAND AVE, OAKLAND, CA 94612-1649
(510) 663-7313
(510) 663-5908
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8133
—
CA
Enumeration date
08/13/2008
Last updated
08/13/2008
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