Individual
ESSAY TSIGEHENS FKADU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7500 WELD ST, OAKLAND, CA 94621-2716
(510) 978-7310
Mailing address
PO BOX 3643, OAKLAND, CA 94609-0643
(510) 978-7310
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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