MORTAKAI DIAMOND

OAKLAND, CA
NPI1679972970
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  none)
Enumeration Date2014-08-22
Last Update Date2014-08-22
Business Address
-- MORTAKAI DIAMOND
727 59TH ST
OAKLAND, CA 94609-1417
Phone number: 323-742-6031
Mailing Address
-- MORTAKAI DIAMOND
727 59TH ST
OAKLAND, CA 94609-1417
Phone number: 323-742-6031