Individual
PATRICE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 BROADWAY # 1039, OAKLAND, CA 94612-2054
(415) 734-7595
Mailing address
1423 BROADWAY # 1039, OAKLAND, CA 94612-2054
(415) 734-7595
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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