Individual
DONITA BERNSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 EMPIRE ST STE 2200, FAIRFIELD, CA 94533-5711
(707) 439-7830
Mailing address
1234 EMPIRE ST STE 2200, FAIRFIELD, CA 94533-5711
(707) 439-7830
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
CA
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
04/11/2024
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