Individual
ERIC SU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
250 E 18TH ST FL 2, OAKLAND, CA 94606-1716
(510) 735-3888
Mailing address
16630 COWELL ST, SAN LEANDRO, CA 94578-1212
(510) 289-5545
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95240213
CA
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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