Individual
MICHELLE CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3451 E 12TH ST, OAKLAND, CA 94601-3463
(510) 535-3500
Mailing address
3451 E 12TH ST, OAKLAND, CA 94601-3463
(510) 535-3500
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95003350
CA
Other
Enumeration date
02/22/2016
Last updated
12/11/2018
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