Individual
EMNET R TECLEZGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1451 28TH AVE, OAKLAND, CA 94601-1632
(510) 261-9191
Mailing address
4017 MOZART DR, EL SOBRANTE, CA 94803-2749
(510) 708-4147
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
257079
CA
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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