Mabullu, David Tanue

Mabullu, David Tanue is an individual health care provider with primary practice located at 3800 Cooladge Ave Oakland, , Oakland CA 94602-3311. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Mabullu, David Tanue can be contacted via phone (510) 482-2244.

Contact Information

Primary practice address
3800 Cooladge Ave Oakland, Oakland CA 94602-3311
Phone: (510) 482-2244
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1497817472
LBN Legal business name Mabullu, David Tanue
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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