Individual
MYSTI AMETHYST DYSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2155 42ND AVE, OAKLAND, CA 94601-4309
(323) 823-7721
Mailing address
2155 42ND AVE, OAKLAND, CA 94601-4309
(323) 823-7721
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
CA
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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