Individual
NATHANIEL FRIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
484 LAKE PARK AVE, SUITE 329, OAKLAND, CA 94610-2730
(510) 789-5565
Mailing address
484 LAKE PARK AVE, SUITE 329, OAKLAND, CA 94610-2730
(510) 789-5565
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0G02106
CA
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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