Individual
MR. ALFRED C FAIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7200 BANCROFT AVE STE 133, OAKLAND, CA 94605-2480
(510) 859-6700
Mailing address
7200 BANCROFT AVE STE 133, OAKLAND, CA 94605-2480
(510) 859-6700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
11/27/2024
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