Individual
BRYAN THUNSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2640 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94704-3238
(510) 981-5290
Mailing address
2640 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94704-3238
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95078644
CA
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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