Individual
MRS. LAURA MCLIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2950 INTERNATIONAL BLVD, OAKLAND, CA 94601-2228
(510) 535-4400
(510) 535-4410
Mailing address
2950 INTERNATIONAL BLVD, OAKLAND, CA 94601-2228
(510) 535-4400
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1018000
CA
Other
Enumeration date
02/22/2010
Last updated
02/15/2011
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