Individual
ELITHIA KNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6955 FOOTHILL BLVD FL 3, OAKLAND, CA 94605-2455
(510) 577-1909
(510) 577-5619
Mailing address
6955 FOOTHILL BLVD FL 3, OAKLAND, CA 94605-2455
(510) 577-1909
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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