Individual
JAMEELAH CUSSEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 653-5040
Mailing address
390 40TH ST., OAKLAND, CA 94609
(510) 653-5040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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