Individual
MRS. KATHRYN BAZ FASSERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
360 ROSE AVE, DANVILLE, CA 94526-3320
(925) 838-4363
(925) 838-4545
Mailing address
220 LIVORNA HEIGHTS RD, ALAMO, CA 94507-1325
(310) 497-2925
(925) 838-4545
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
21661
CA
Other
Enumeration date
08/10/2012
Last updated
11/29/2017
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