Individual
MS. RONA SHARON HAERTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
780 S AIRPORT BLVD, INTERNATIONAL TERMINAL LEVEL 3, SAN FRANCISCO, CA 94128
(650) 821-5601
(650) 821-5662
Mailing address
780 S AIRPORT BLVD, INTERNATIONAL TERMINAL LEVEL 3, SAN FRANCISCO, CA 94128
(650) 821-5601
(650) 821-5662
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12873
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA12873
CALIFORNIA STATE BOARD PH
CA
Enumeration date
07/18/2007
Last updated
12/23/2015
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