Individual
RICHARD STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
510 17TH ST STE 400, OAKLAND, CA 94612-1570
(510) 433-1150
Mailing address
510 17TH ST STE 400, OAKLAND, CA 94612-1570
(510) 433-1150
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
592176
CA
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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