SUSAN BEYER BERTELSEN

EMERYVILLE, CA
NPI1790809739
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA11214)
Enumeration Date2007-03-16
Last Update Date2007-07-08
Business Address
-- SUSAN BEYER BERTELSEN P.A.-C.
2100 POWELL ST STE 900 CEP - MEDAMERICA PROVIDER ENROLLMENT
EMERYVILLE, CA 94608-1844
Phone number: 510-350-2676
Mailing Address
-- SUSAN BEYER BERTELSEN P.A.-C.
3955 DUNCAN PL
PALO ALTO, CA 94306-4551
Phone number: 650-493-6630
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