Individual
ANTOINETTE P BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, RD, CNSC
Contact information
Practice address
3709 LEMON AVE, LONG BEACH, CA 90807-4115
(610) 739-9606
Mailing address
3709 LEMON AVE, LONG BEACH, CA 90807-4115
(610) 739-9606
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86029200
—
363A00000X
Physician Assistant
Primary
1193054
CA
Other
Enumeration date
11/19/2015
Last updated
08/06/2025
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