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Deidra Bolton
NPI 1174711212 · on the registry since 2007
Practice
- Address
- 4321 Tompkins Ave
Oakland, CA 94619 - Phone
- (510) 715-4082
- Organisation at this address
- The Resource Environment For Underprivileged Groups Enterprise, Inc.
The Resource Environment For Underprivileged Groups Enterprise, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Female
- Record last updated
- 2007-10-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California