Individual
CORINA LIDIA MIHAILESCU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,
Contact information
Practice address
1820 JEFFERSON ST, OAKLAND, CA 94612-1543
(510) 465-0881
(510) 465-5908
Mailing address
1820 JEFFERSON ST, OAKLAND, CA 94612-1543
(510) 465-0881
(510) 465-5908
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510173390
—
CA
Enumeration date
01/11/2010
Last updated
01/11/2010
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