Mule Creek Sate Prison
Specialty details in registry · Elk Grove, CA
At a glance
9266 Dairy Ct, Elk Grove, CA 95624-3583
NPPES record updated Oct 10, 2014. Public records can lag behind changes at a practice.
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Practice location
9266 Dairy CtElk Grove, CA 95624-3583
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 302F00000X
- Enumeration date
- Oct 10, 2014
- Record updated
- Oct 10, 2014
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
302F00000X · Primary
License reported: LCF35817 CA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
9266 Dairy CtElk Grove, CA 95624-3583
- Phone
- (209) 274-4911
Mailing address
9266 DAIRY CTELK GROVE, CA 956243583
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