Individual
VICTORIA UHATAFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 JEFFERSON ST, OAKLAND, CA 94612-1215
(510) 923-1099
(510) 350-8793
Mailing address
1121 40TH ST, EMERYVILLE, CA 94608-3600
(727) 967-3765
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
720128
CA
Other
Enumeration date
10/11/2022
Last updated
10/14/2024
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