Individual
CHARLENE MARIE EDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
2 KORET WAY, SAN FRANCISCO, CA 94143-2218
(925) 212-4244
Mailing address
555 30TH ST, OAKLAND, CA 94609-3201
(925) 212-4424
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95030845
CA
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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