Individual
ALLYSE WHARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
350 30TH ST, OAKLAND, CA 94609-3424
(510) 465-6700
Mailing address
2 EMBARCADERO CTR LBBY LEVEL, SUITE 100, SAN FRANCISCO, CA 94111-3823
(415) 578-3100
(415) 291-0489
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA22900
CA
Other
Enumeration date
05/06/2013
Last updated
07/25/2016
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