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NPI Code Detail

MEDICARE: EMIKO FRANCES AVERY

MEDICARE: EMIKO FRANCES AVERY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1265763221
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMIKO FRANCES AVERY
Provider Business Mailing Address
First Line : 6873 HAWLEY ST
Second Line : 403
City : OAKLAND
State : CA
Zip : 94621-3391
Country : US
Telephone Number : 510-875-0364
Fax Number :
Provider Business Practice Location Address
First Line : 4505 TAFT AVE
Second Line :
City : RICHMOND
State : CA
Zip : 94804-3449
Country : US
Telephone Number : 510-234-1299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2010
Last Update Date : 01/11/2015

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Directions to “ EMIKO FRANCES AVERY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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