Individual
MS. BERTHA DOLORES SAUCEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2005 LYON AVE, BELMONT, CA 94002-1636
(605) 301-4573
Mailing address
2005 LYON AVE, BELMONT, CA 94002-1636
(650) 592-7137
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5149
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27954
LINCENSE
CA
Enumeration date
11/01/2006
Last updated
07/08/2007
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