Individual
AMANDA PIASECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2579 SAN PABLO AVE, OAKLAND, CA 94612-1159
(510) 446-7100
Mailing address
2579 SAN PABLO AVE, OAKLAND, CA 94612-1159
(510) 446-7100
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
09/29/2016
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