Individual
ERYN STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 TELEGRAPH AVE STE 350, OAKLAND, CA 94609-3239
(800) 607-6377
Mailing address
3428 ELITE DR, SACRAMENTO, CA 95823-1708
(303) 525-7655
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95164376
CA
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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