Most Relevant Information
Provider Data
| NPI Number: | 1003396011 |
| Provider Name: | MARIEL PAUL |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/19/2018 |
| Last Updated: | 09/15/2019 |
Provider Practice Location
1266 14TH ST
OAKLAND
CA
94607
Practice Location Phone/Fax
| Phone: | 5102734700 |
| Fax: |
Provider Mailing Location
1266 14TH ST
OAKLAND
CA
946072247
Provider Mailing Phone/Fax
| Phone: | 5102734700 |
| Fax: |