Individual
MIKAELA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7677 OAKPORT ST, OAKLAND, CA 94621-1929
(510) 290-0294
Mailing address
7677 OAKPORT ST, OAKLAND, CA 94621-1929
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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