Individual
ADELINA B STATEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
175 PARK ST, LAKEPORT, CA 95453-4803
(707) 263-9595
(707) 263-5576
Mailing address
175 PARK ST, LAKEPORT, CA 95453-4803
(707) 263-9595
(707) 263-5576
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4562
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E4562
CA
Other
Enumeration date
07/11/2006
Last updated
04/10/2014
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