Individual
DEBRA SUE GOETTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1801 SHATTUCK AVE STE A, BERKELEY, CA 94709-1872
(510) 225-1025
(510) 225-0119
Mailing address
1801 SHATTUCK AVE STE A, BERKELEY, CA 94709-1872
(510) 225-1025
(510) 225-0119
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13453
CA
Other
Enumeration date
08/13/2006
Last updated
04/10/2015
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