Individual
HANS OLAF DIETZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6801 SKYLINE BLVD, OAKLAND, CA 94611-6101
(707) 339-2119
Mailing address
6801 SKYLINE BLVD, OAKLAND, CA 94611-6101
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
40281
CA
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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