Individual
DEBORAH RUTH BERENBOIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4020 CIVIC CENTER DR, SAN RAFAEL, CA 94903
(415) 491-2525
Mailing address
555 NORTHGATE DR, SAN RAFAEL, CA 94903-3680
(415) 526-7500
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/17/2017
Last updated
05/25/2018
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