LYSA SAMUEL

OAKLAND, CA
NPI1174737423
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence:   PA16296)
Enumeration Date2007-05-09
Last Update Date2007-07-08
Business Address
LYSA SAMUEL PA
3100 TELEGRAPH AVE #2109 EAST BAY FAMILY PRACTICE MEDICAL GROUP INC
OAKLAND, CA 94609
Phone number: 510-645-9900
Mailing Address
LYSA SAMUEL PA
3100 TELEGRAPH AVE #2109 EAST BAY FAMILY PRACTICE MEDICAL GROUP INC
OAKLAND, CA 94609
Phone number: 510-645-9900
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