Individual
IVY MEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
818 WEBSTER ST, OAKLAND, CA 94607-4220
(510) 986-6800
Mailing address
1808 ENTRANCE RD, ALAMEDA, CA 94501-6889
(510) 326-0829
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN748235
CA
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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