Dina Medeiros PA

NPI 1649476011 - Physician Assistant - 363A00000X

NPI Details
NPI 1649476011
Gender Female
Enumeration Date 06/22/2007
Last Updated 12/10/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
3000 Q STREET
SACRAMENTO CA, 95816, US
Phone (916) 733-3400
Fax (916) 733-5384
Business Location
3400 DATA DRIVE
PHYSICIAN SUPPORT SERVICES
RANCHO CORDOVA CA, 95670, US
Phone (530) 621-7700
Fax (530) 621-7713
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA18449
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According to our database, Dina Medeiros PA NPI is 1649476011, taxonomy code is 363A00000X and license number is PA18449, license state is located at California. Dina Medeiros PA physically located at 3000 Q Street, Sacramento CA, 95816. NPI Number Dina Medeiros PA has the Individual type.

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1649476011 NPI number is provided on an as is basis without warranty of any kind. 1649476011 is maintained by the National Plan & Provider Enumeration System. The contents of Dina Medeiros PA are for informational purposes only.