Individual
MYRA E PUNLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PROSTHETIST
Contact information
Practice address
110 41ST ST, OAKLAND, CA 94611-5250
(707) 679-9337
Mailing address
207 INTERNATIONAL BLVD, OAKLAND, CA 94606-2235
(707) 679-0337
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
ZZR06096F
CA
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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