Individual
TANDRA DEBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 FILBERT ST, OAKLAND, CA 94607-2890
(510) 663-9092
Mailing address
1475 EXCELSIOR AVE, OAKLAND, CA 94602-1167
(510) 367-9103
Taxonomy
Speciality
Code
Description
License number
State
247000000X
Health Information Technician
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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