Individual
COSME OUABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 BROADWAY, OAKLAND, CA 94612-2141
(510) 273-4200
(510) 273-8340
Mailing address
5674 STONERDIGE DRIVE SUITE 207, PLEASANTON, CA 94588
(925) 520-0005
(925) 520-0010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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