Individual
MS. MARY SURDILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A-C
Contact information
Practice address
3200 KEARNEY ST, FREMONT, CA 94538-2299
(510) 498-2890
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 498-2890
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 15975
CA
Other
Enumeration date
03/15/2013
Last updated
06/08/2020
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