SUSANA JUDITH PRAVER

OAKLAND, CA
NPI1255434452
Other NameSHOSHANA JUDITH PRAVER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA10842)
Enumeration Date2006-09-06
Last Update Date2010-08-06
Business Address
-- SUSANA JUDITH PRAVER PAC
3451 E 12TH ST
OAKLAND, CA 94601
Phone number: 510-535-3317
Mailing Address
-- SUSANA JUDITH PRAVER PAC
1601 FRUITVALE AVE
OAKLAND, CA 94601-2322
Phone number: 510-535-4000
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