Justin Powell's National Provider Identifier (NPI) Details
Justin Powell,
NPI: 1124359807
Enumeration Date: 2010-01-20
Last updated: 2013-11-01
Sole Proprietor: YES
Status: active
Postal Address: 1354 E 36TH ST, OAKLAND, CA
Phone: 217-552-0859
Primary Practice Address: 1354 E 36TH ST, OAKLAND, CA
Practice's phone: 217-552-0859