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1700633120
SASHA TIFFANY DATTA
SACRAMENTO, CA
NPI
1700633120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: CA 95029992)
Enumeration Date
2024-05-03
Last Update Date
2024-10-01
Business Address
SASHA TIFFANY DATTA FNP
10423 OLD PLACERVILLE RD STE 100
SACRAMENTO, CA 95827-2542
Phone number: 916-737-5555
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Mailing Address
SASHA TIFFANY DATTA FNP
1500 EXPO PKWY
SACRAMENTO, CA 95815-4227
Phone number: 916-469-4690
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