Individual
ELIZABETH LIEDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2620 26TH AVE, OAKLAND, CA 94601-1907
(510) 437-2363
(510) 437-2366
Mailing address
2620 26TH AVE, OAKLAND, CA 94601-1907
(510) 437-2363
(510) 437-2366
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
796986
CA
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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