Individual
BETH RAKOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2031 6TH ST, BERKELEY, CA 94710-2006
(510) 981-4243
Mailing address
2344 6TH STREET, ATTENTION: CREDENTIALING DEPT., BERKELEY, CA 94710
(510) 981-4243
(510) 553-2169
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
756686
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43820800
—
WI
Enumeration date
07/12/2006
Last updated
03/08/2013
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