Individual
LIZETH CORINA TORRES CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 BANCROFT AVE, OAKLAND, CA 94605-2403
(510) 735-0864
Mailing address
7200 BANCROFT AVE, OAKLAND, CA 94605-2403
(510) 735-0864
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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