| |
6808 Rio Tejo Way Elk Grove CA 95757-3432 | |
(916) 875-0802 | |
(916) 875-0854 |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 6808 Rio Tejo Way, Elk Grove, California |
Authorized Official Name and Position | Estelita D. Avera (LVN) |
Authorized Official Contact | 9168750802 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
6808 Rio Tejo Way Elk Grove CA 95757-3432 Ph: (916) 875-0802 | 6808 Rio Tejo Way Elk Grove CA 95757-3432 Ph: (916) 875-0802 |
NPI Number | 1467558783 |
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Provider Enumeration Date | 09/15/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467558783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | VN111149 (California) | Primary |
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