West Sacramentopediatric Medical Group,inc
NPI #1215009212 in West Sacramento, California
Provider Information
- NPI Number
- 1215009212
- Entity Type
- Organization
- Organization Name
- West Sacramentopediatric Medical Group,inc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Nov 14, 2006
- Last Updated
- Sep 17, 2008
Practice Location
- Address
- 1050 JEFFERSON BLVD
- City
- West Sacramento
- State
- California
- ZIP Code
- 95691-3304
- Phone
- (916) 371-3787
Authorized Official
- Name
- MS. JUDITH J TARRANT, RN,FNP
- Title
- PROVIDER, CO-OWNER
- Phone
- (916) 371-3787
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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