SAU-MI PRISCILLA FAN

FAIR OAKS, CA
NPI1144545823
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  AP109278)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: TX  AP109278)
Enumeration Date2010-04-06
Last Update Date2018-12-16
Business Address
SAU-MI PRISCILLA FAN FNP
6608 MERCY CT STE B
FAIR OAKS, CA 95628-3171
Phone number: 916-241-9844
Mailing Address
SAU-MI PRISCILLA FAN FNP
6608 MERCY CT STE B
FAIR OAKS, CA 95628-3171
Phone number: 916-241-9844