Individual
PROF. ADRIENNE LAURA MCGRAEL-SOUDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 SAN PABLO AVE STE 300, ALBANY, CA 94706-1103
(510) 204-8130
(510) 524-0861
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 204-8130
(510) 524-0861
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
295111
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G48839
STATE MEDICAL LICENSE
CA
Enumeration date
06/22/2005
Last updated
10/03/2019
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