Individual
REBECCA SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
620 CRAGMONT AVE, BERKELEY, CA 94708-1343
(510) 847-1235
Mailing address
620 CRAGMONT AVE, BERKELEY, CA 94708-1343
(510) 847-1235
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95000212
CA
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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