Individual
JOHN STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4126 TELEGRAPH AVE, OAKLAND, CA 94609
(510) 274-1092
Mailing address
PO BOX 318, OAKLAND, CA 94604-0318
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
78131
CA
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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