Individual
MS. CHAN MARY SOEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 8TH ST STE 210, OAKLAND, CA 94607-6527
(510) 735-3900
(510) 735-3941
Mailing address
310 8TH ST STE 210, OAKLAND, CA 94607-6527
(510) 735-3900
(510) 735-3941
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95027598
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95027598
CA
Other
Enumeration date
04/26/2022
Last updated
02/12/2024
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