Individual
BERNADETTE HYSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2221 STOCKTON BLVD, 2112, SACRAMENTO, CA 95817-1418
(916) 734-7255
Mailing address
2221 STOCKTON BLVD, 2112, SACRAMENTO, CA 95817-1418
(916) 734-7255
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA52305
CA
Other
Enumeration date
02/26/2015
Last updated
09/09/2015
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