Individual
MS. HAYLEY RAE VANDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1600 DIVISADERO ST, SAN FRANCISCO, CA 94143-3010
(415) 353-4201
Mailing address
1600 DIVISADERO ST, SAN FRANCISCO, CA 94143-3010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA18331
TX
363AS0400X
Surgical Physician Assistant
Primary
PA57700
CA
Other
Enumeration date
07/25/2017
Last updated
08/25/2025
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