Individual
DEANNA NICOLE DYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
830 46TH ST, OAKLAND, CA 94608-3416
(510) 395-6614
Mailing address
830 46TH ST, OAKLAND, CA 94608-3416
(510) 395-6614
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95069963
CA
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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