Individual
BETH SHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 POMONA AVE, EL CERRITO, CA 94530-3737
(510) 812-2263
Mailing address
325 POMONA AVE, EL CERRITO, CA 94530-3737
(510) 812-2263
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
621637
CA
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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