Individual
MARTHA STASSINOS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2221 MARTIN LUTHER KING JR WAY, OAKLAND, CA 94612-1318
(510) 267-7843
Mailing address
1319 BLAKE ST, BERKELEY, CA 94702-2113
(510) 540-1214
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
11680
CO
1835P1200X
Pharmacotherapy Pharmacist
1277
AK
1835P1200X
Pharmacotherapy Pharmacist
RP00004754
NM
1835P1200X
Pharmacotherapy Pharmacist
Primary
RPH33473
CA
Other
Enumeration date
12/02/2005
Last updated
07/08/2007
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