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Individual

MISS FITIMAH NJERI HADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7200 BANCROFT AVE, BLDG. B SUITE 133, OAKLAND, CA 94605-2403
(510) 553-8500
(510) 553-8550
Mailing address
7200 BANCROFT AVE, BLDG. B SUITE 133, OAKLAND, CA 94605-2403
(510) 553-8500
(510) 553-8550

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1801983960
ICM
CA
Enumeration date
05/30/2007
Last updated
07/08/2007
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