Individual
AMANDA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 653-5040
Mailing address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 653-5040
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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