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Marie Therese Dimalanta, PA
Surgical Physician Assistant in Oakland, California
NPI 1255492807

Marie Therese Dimalanta is a Surgical Physician Assistant based in Oakland, CA and is specialized in Surgical. Marie Therese Dimalanta practices in Oakland, CA and has the professional credentials of PA. The NPI Number for Marie Therese Dimalanta is 1255492807 and holds a License No. PA17601 (California).

The current practice location address for Marie Therese Dimalanta is 280 W Macarthur Blvd, Oakland, CA and can be reached out via phone at 510-752-5051.

Location: 280 W Macarthur Blvd, Oakland, CA, 94611-5642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255492807
Provider Name
Marie Therese Dimalanta
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
280 W Macarthur Blvd, Oakland, CA, 94611-5642
Phone Number
510-752-5051
Fax Number
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
280 W Macarthur Blvd
City
Oakland
State
California
Zip
94611-5642
Phone Number
510-752-5051
Fax Number
person
Provider Business Mailing Address Details
Address
280 W Macarthur Blvd
City
Oakland
State
California
Zip
94611-5642
Phone Number
510-752-5051
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA17601 (California)
Definition
Definition to come...
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