Individual
MS. KATHERINE BEDEIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
782 47TH ST, OAKLAND, CA 94609-1807
(510) 658-9409
Mailing address
782 47TH ST, OAKLAND, CA 94609-1807
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN418611
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN418611
BRN #
CA
Enumeration date
01/08/2007
Last updated
07/08/2007
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