Individual
PETRICE P. KAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., NP-BC, WCC
Contact information
Practice address
1497 ALCATRAZ AVE, BERKELEY, CA 94702-2710
(510) 433-1150
(510) 844-0132
Mailing address
1194 CARRISON ST, BERKELEY, CA 94702-2410
(510) 549-9312
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
16026
CA
Other
Enumeration date
05/02/2007
Last updated
07/15/2013
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