Individual
SUSAN PAULY-O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
750 REDWOOD HWY FRONTAGE RD, MILL VALLEY, CA 94941
(415) 384-4778
Mailing address
39 MCNEAR DR, SAN RAFAEL, CA 94901-1545
(415) 456-4721
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
9931
CA
Other
Enumeration date
12/27/2012
Last updated
07/23/2018
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