Individual
LEAHANN VEDELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHIATRIC TECH
Contact information
Practice address
5275 CLAREMONT AVE, OAKLAND, CA 94618-1032
(511) 428-3000
Mailing address
5275 CLAREMONT AVE, OAKLAND, CA 94618-1032
(511) 428-3000
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36764
CA
Other
Enumeration date
10/23/2020
Last updated
06/06/2022
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