Individual
SUSANNA IAMMARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 YGNACIO VALLEY RD, WALNUT CREEK, CA 94598-3122
(929) 939-3000
Mailing address
825 OAK GROVE RD APT 8, CONCORD, CA 94518-3522
(716) 848-0847
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
703263
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366249179
NPI
CA
Enumeration date
11/28/2018
Last updated
02/10/2026
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