Individual
TERESA BASILLA OAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1622 BARTOW RD, MCKINLEYVILLE, CA 95519-4309
(707) 496-9425
Mailing address
1622 BARTOW RD, MCKINLEYVILLE, CA 95519-4309
(707) 496-9425
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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