Organization
KAISER PERMANENTE
Active
Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUNDA VALERIE NEWSOME MASTER OF SW INTERN (ASSOCIATE LCSW)
(707) 651-1050
Entity
Organization
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1050
Mailing address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1050
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
283X00000X - REHAB
CA
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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