Individual
MISS SUSAN CAROLE EILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13847 E 14TH ST STE 214, SAN LEANDRO, CA 94578-2626
(510) 483-2377
(510) 483-2021
Mailing address
13847 E 14TH ST STE 214, SAN LEANDRO, CA 94578-2626
(510) 483-2377
(510) 483-2021
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G47685
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G476850
—
CA
Enumeration date
08/10/2006
Last updated
01/05/2008
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