Search › California › 1041C0700X
Marcy Dacoste
NPI 1760667406 · on the registry since 2007 · sole proprietor
Practice
- Address
- 25 Chumalia St
San Leandro, CA 94577 - Phone
- (510) 595-2567
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-12-31
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