INGRID N WAHJUDI

WOODLAND, CA
NPI1528479342
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: CA  A145785)
Enumeration Date2014-05-14
Last Update Date2020-08-07
Business Address
INGRID N WAHJUDI MD
632 W GIBSON RD
WOODLAND, CA 95695-5169
Phone number: 530-668-2600
Mailing Address
INGRID N WAHJUDI MD
3400 DATA DR ATTN: CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670-7956
Phone number:
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