Alia Marie Bertolozzi F.N.P.

NPI 1720493661 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1720493661
Gender Female
Enumeration Date 06/30/2014
Last Updated 06/30/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
SAN RAFAEL CA, 94901-3323, US
Phone (415) 457-8182
Fax (415) 457-3490
Business Location
PO BOX 3517
SAN RAFAEL CA, 94912-3517, US
Phone (415) 457-8182
Fax (415) 457-3490
Taxonomy Code 363LF0000X
License State California
License Number 95000806
Remove 1720493661 NPI Number

According to our database, Ms. Alia Marie Bertolozzi F.N.P. NPI is 1720493661, taxonomy code is 363LF0000X and license number is 95000806, license state is located at California. Alia Marie Bertolozzi F.N.P. physically located at 16 Ritter St, San Rafael CA, 94901-3323. NPI Number Alia Marie Bertolozzi F.N.P. has the Individual type.

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1720493661 NPI number is provided on an as is basis without warranty of any kind. 1720493661 is maintained by the National Plan & Provider Enumeration System. The contents of Alia Marie Bertolozzi F.N.P. are for informational purposes only.