Individual
DAYNETTA BERNSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 W MACDONALD AVE, RICHMOND, CA 94801-2965
(510) 838-6924
Mailing address
311 W MACDONALD AVE, RICHMOND, CA 94801-2965
(510) 838-6924
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
R112861214
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A1833801
—
CA
Enumeration date
06/10/2016
Last updated
06/10/2016
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