RYOTARO FUKUDA

SACRAMENTO, CA
NPI1255029948
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  PTL18530)
Enumeration Date2023-05-01
Last Update Date2026-06-07
Business Address
RYOTARO FUKUDA
2230 STOCKTON BLVD
SACRAMENTO, CA 95817-1353
Phone number: 916-734-7523
Mailing Address
RYOTARO FUKUDA
2230 STOCKTON BLVD
SACRAMENTO, CA 95817-1353
Phone number: 916-734-7523