Individual
MRS. BRAEQUIANA JASMINE PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1605 JEFFERSON ST, OAKLAND, CA 94612-1215
(510) 993-6759
Mailing address
1605 JEFFERSON ST, OAKLAND, CA 94612-1215
(510) 993-6759
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
699313
CA
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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