Individual
GELILA GIZAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 BANCROFT AVE STE 202, OAKLAND, CA 94605-2471
(510) 577-7089
(510) 577-7078
Mailing address
7200 BANCROFT AVE STE 202, OAKLAND, CA 94605-2471
(510) 577-7089
(510) 577-7078
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
556425
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
556425
RN
CA
01
—
61292
PHN
CA
Enumeration date
12/18/2007
Last updated
12/18/2007
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