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312 Cernon St Ste D Vacaville CA 95688-4500 | |
| (707) 392-3345 | |
| (707) 471-4021 |
| Full Name | |
|---|---|
| Speciality | Community Health Worker |
| Location | 312 Cernon St Ste D, Vacaville, California |
| Authorized Official Name and Position | Andrew Lamb (CEO) |
| Authorized Official Contact | 7073923345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
312 Cernon St Ste D Vacaville CA 95688-4500 Ph: (707) 392-3345 | 312 Cernon St Ste D Vacaville CA 95688-4500 Ph: (707) 392-3345 |
| NPI Number | 1376307363 |
|---|---|
| Provider Enumeration Date | 02/09/2024 |
| Last Update Date | 12/19/2024 |
| Certification Date | 12/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376307363 | NPI | - | NPPES |
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