TARA SEKLE PETTUS

SACRAMENTO, CA
NPI1588337232
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  95002263)
Additional Taxonomies163WC0200X Registered Nurse, Critical Care Medicine
(Licence: CA  95203093)
Enumeration Date2021-07-28
Last Update Date2024-01-16
Business Address
TARA SEKLE PETTUS
4301 X ST
SACRAMENTO, CA 95817-2214
Phone number: 916-734-5028
Mailing Address
TARA SEKLE PETTUS
4301 X ST
SACRAMENTO, CA 95817-2214
Phone number: 210-323-7549