Individual
TEFLON SEMERE AMANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NON EMERGENCY MEDICA
Contact information
Practice address
5110 TELEGRAPH AVE UNIT 628, OAKLAND, CA 94609-1982
(310) 484-9070
(510) 345-2021
Mailing address
5110 TELEGRAPH AVE UNIT 628, OAKLAND, CA 94609-1982
(310) 484-9070
(510) 345-2021
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
F2547292
CA
Other
Enumeration date
10/30/2021
Last updated
10/30/2021
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