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1083042162
ELSA PETRONELLA VAN BERRY
OAKLAND, CA
NPI
1083042162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 2011003399)
Enumeration Date
2013-10-28
Last Update Date
2017-12-12
Business Address
ELSA PETRONELLA VAN BERRY CRYT, RN, MSN,FNP-BC
3100 SUMMIT ST FL 2
OAKLAND, CA 94609-3412
Phone number: 510-869-8865
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Mailing Address
ELSA PETRONELLA VAN BERRY CRYT, RN, MSN,FNP-BC
3687 MT DIABLO BLVD STE 200
LAFAYETTE, CA 94549-3746
Phone number: 510-204-6660
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