Individual
DEBORAH ROYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3100 SUMMIT STREET, 2ND FLOOR, OAKLAND, CA 94609-0000
(510) 869-8400
Mailing address
PO BOX 255348, SACRAMENTO, CA 95865-5348
(916) 854-6975
(916) 854-6864
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
352361
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN352361
—
CA
Enumeration date
07/18/2006
Last updated
07/08/2007
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