NPI 1386308880

Teflon Semere Amaniel, NONEMERGENCYMEDICA

Practitioner Driver Oakland, CA

Practice location

Address: 5110 Telegraph Ave Unit 628, Oakland, CA 94609-1982
Phone: (310) 484-9070
Fax: (510) 345-2021

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence F2547292 (CA)

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Registry record

NPI: 1386308880
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Oct 2021
Record last updated: 30 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.