Individual
DEBORAH REAGHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1500 FRANKLIN ST, SAN FRANCISCO, CA 94109-4523
(415) 474-7310
Mailing address
580 SUPERIOR AVE, SAN LEANDRO, CA 94577-3052
(510) 798-3902
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9015
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BV576Z
PTAN
CA
Enumeration date
05/10/2007
Last updated
02/10/2020
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