Individual
KATHERINE MCCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 HOLLIS ST STE X, EMERYVILLE, CA 94608-2008
(510) 500-5124
Mailing address
1421 COMSTOCK WAY # B, OAKLAND, CA 94606-3305
(510) 381-2130
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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