Individual
KELLY A. MARIS-WEISSBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.N.P.
Contact information
Practice address
80 GRAND AVE STE 602, OAKLAND, CA 94612-3744
(510) 763-0884
(510) 763-8753
Mailing address
775 SILVER OAKS PL, WALNUT CREEK, CA 94597-2682
(925) 979-1297
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
296076
CA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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