THEODORE OWEN ATWOOD

OAKLAND, CA
NPI1912533571
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: CA  93126)
Enumeration Date2020-03-16
Last Update Date2020-03-16
Business Address
THEODORE OWEN ATWOOD
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
Mailing Address
THEODORE OWEN ATWOOD
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330