Individual
SUSAN CAROLINE DITMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
744 52ND ST, SUITE 5203, OAKLAND, CA 94609-1809
(510) 428-3885
(510) 597-7034
Mailing address
744 52ND ST, SUITE 5203, OAKLAND, CA 94609-1809
(510) 428-3885
(510) 597-7034
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NPF 10382
CA
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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