Individual
MRS. JANINE MARIE LUCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3000
(510) 597-7106
Mailing address
747 52ND ST, OAKLAND, CA 94609-1809
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
19128
CA
Other
Enumeration date
11/18/2009
Last updated
08/11/2010
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