DALE THOMAS RISENHOOVER

SACRAMENTO, CA
NPI1407228208
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA52935)
Enumeration Date2015-10-20
Last Update Date2022-01-03
Business Address
-- DALE THOMAS RISENHOOVER PA-C
1500 21ST ST
SACRAMENTO, CA 95811-5216
Phone number: 916-443-3299
Mailing Address
-- DALE THOMAS RISENHOOVER PA-C
1500 21ST ST
SACRAMENTO, CA 95811-5216
Phone number: 916-443-3299
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