Individual
SUSANNE TENNANT VALENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3773
Mailing address
5256 CLAREMONT AVE, OAKLAND, CA 94618-1033
(510) 406-0493
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA22333
CA
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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