Individual
MS. MARY WILLIAMS TRUSKIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., M.S., P.N.P.
Contact information
Practice address
747 52ND ST, CHILDREN'S HOSPITAL SURGICAL SERVICES, OAKLAND, CA 94609-1809
(510) 428-3690
(510) 235-2173
Mailing address
3138 LEWISTON AVE, BERKELEY, CA 94705-2717
(510) 428-3690
(510) 235-2173
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2101
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94-30382330
—
CA
Enumeration date
11/05/2009
Last updated
11/05/2009
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