Individual
KATE ELIZABETH BIRNBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 EAGLE RD, ALAMEDA, CA 94501-5100
(510) 437-3582
(510) 437-3621
Mailing address
1 EAGLE RD, ALAMEDA, CA 94501-5100
(510) 437-3582
(510) 437-3621
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
24720000X
CA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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