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Individual

HILARY ANN MODELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
2999 REGENT STREET, SUITE 301, BERKELEY, CA 94705
(510) 841-5510
Mailing address
2350 W EL CAMINO REAL, FL 2, MOUNTAIN VIEW, CA 94040-6203
(510) 204-5600
(510) 204-5462

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
283855
CA

Other

Enumeration date
09/27/2006
Last updated
09/12/2018
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