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Individual

AMSALE GUGESSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
9925 INTERNATIONAL BLVD, OAKLAND, CA 94603-2558
(510) 777-1177
Mailing address
1666 PARKSIDE DR, WALNUT CREEK, CA 94597-3561
(925) 278-3269

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95006485
CA

Other

Enumeration date
07/05/2017
Last updated
07/05/2017
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