Individual
MARY FOXALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 DWIGHT WAY, BERKELEY, CA 94710-2428
(510) 705-5057
Mailing address
800 DWIGHT WAY, BERKELEY, CA 94710-2428
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
322499
CA
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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