Individual
ANGELINA MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2633 E 27TH ST, OAKLAND, CA 94601-1912
(251) 053-5115
Mailing address
2633 E 27TH ST, OAKLAND, CA 94601-1912
(251) 053-5115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
705657
CA
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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