EDWIN G VENTOCILLA

SACRAMENTO, CA
NPI1508934860
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA16349)
Enumeration Date2006-12-02
Last Update Date2023-01-06
Business Address
EDWIN G VENTOCILLA PA-C
6339 MACK RD
SACRAMENTO, CA 95823-4655
Phone number: 916-454-2345
Mailing Address
EDWIN G VENTOCILLA PA-C
1860 HOWE AVE STE 440
SACRAMENTO, CA 95825-1098
Phone number: 916-569-8484