STELLA DETARSIO-PARK

OAKLAND, CA
NPI1649657826
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: CA  ND463)
Enumeration Date2015-04-27
Last Update Date2015-04-27
Business Address
-- STELLA DETARSIO-PARK
1 RIO VISTA AVE
OAKLAND, CA 94611-5320
Phone number: 510-277-7428
Mailing Address
-- STELLA DETARSIO-PARK
2601 BLANDING AVE C340
ALAMEDA, CA 94501-1579
Phone number: 510-277-7428
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