STELLA DETARSIO-PARK

General Practice

Active Individual
NPI: 1649657826

Practice Address

1 RIO VISTA AVE
Oakland, CA 94611

Phone: (510) 277-7428

Specialties

Specialty Code Primary License
General Practice 208D00000X Yes ND463 (CA)

Frequently Asked Questions

NPI 1649657826 is the National Provider Identifier for STELLA DETARSIO-PARK, a General Practice provider located in Oakland, CA. This NPI was enumerated on April 27, 2015.
STELLA DETARSIO-PARK practices at 1 RIO VISTA AVE, Oakland, CA 94611.

Quick Facts

NPI
1649657826
Type
Individual
Enumerated
Apr 27, 2015
Last Updated
Apr 27, 2015

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