Individual
MRS. AMELIA MOSTOVOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 TELEGRAPH AVE, OAKLAND, CA 94609-3016
(415) 290-3733
Mailing address
3200 TELEGRAPH AVE, OAKLAND, CA 94609-3016
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5953
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2019
Last updated
07/18/2023
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