Individual
SVETLANA NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19053 VANNOY CT, CASTRO VALLEY, CA 94546-2519
(415) 571-3805
Mailing address
19053 VANNOY CT, CASTRO VALLEY, CA 94546-2519
(415) 571-3805
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B4927524
CA
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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