person
Stella Detarsio-park
General Practice Physician in Oakland, California
NPI 1649657826

Stella Detarsio-park is a General Practice Physician based in Alameda, CA. Stella Detarsio-park practices in Oakland, CA. The NPI Number for Stella Detarsio-park is 1649657826 and holds a License No. ND463 (California).

The current practice location address for Stella Detarsio-park is 1 Rio Vista Ave, Oakland, CA and can be reached out via phone at 510-277-7428.

Location: 1 Rio Vista Ave, Oakland, CA, 94501-1579
person
Provider Profile Details
NPI Number
1649657826
Provider Name
Stella Detarsio-park
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Rio Vista Ave, Oakland, CA, 94501-1579
Phone Number
510-277-7428
Fax Number
Provider Enumeration Date
04/27/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Rio Vista Ave
City
State
Zip
94611-5320
Phone Number
510-277-7428
Fax Number
person
Provider Business Mailing Address Details
Address
1 Rio Vista Ave
City
State
Zip
94611-5320
Phone Number
510-277-7428
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
ND463 (California)
Definition
Definition to come...
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