GOODWILL C PRINCEWILL

EMERYVILLE, CA
NPI1689011660
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  22976)
Enumeration Date2013-05-30
Last Update Date2013-05-30
Business Address
-- GOODWILL C PRINCEWILL
2100 POWELL ST STE 900
EMERYVILLE, CA 94608-1844
Phone number: 510-350-2600
Mailing Address
-- GOODWILL C PRINCEWILL
2100 POWELL ST STE 900
EMERYVILLE, CA 94608-1844
Phone number: 510-350-2600
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