Organization
NORTH BAY FOOT AND ANKLE CLINIC INC
Active
Other names
Adelina Stateva DPM
Organization subpart
No
Provider details
NPI number
Authorized official
TONIA SILVA (OFFICE MANAGER)
(707) 263-9595
Entity
Organization
Contact information
Practice address
175 PARK ST, LAKEPORT, CA 95453-4803
(707) 263-9595
(707) 263-5576
Mailing address
175 PARK ST, LAKEPORT, CA 95453-4803
(707) 263-9595
(707) 263-5576
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4562
CA
Other
Enumeration date
11/28/2012
Last updated
04/30/2013
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