SearchCalifornia101YA0400X

Donnie Hardaway

NPI 1790966281 · on the registry since 2007 · sole proprietor

Practice

Address
7105 Favor St
Apt C
Oakland, CA 94621
Phone
(510) 784-5889
Fax
(510) 784-9194

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-11-26

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