MATHER VA

FAIR OAKS, CA
NPI1760465637
Entity TypeOrganization
Authorized ContactNOREEN M GOODIN
Fnp
916-366-5450
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: CA  14656)
Enumeration Date2005-11-23
Last Update Date2007-11-05
Business Address
MATHER VA
8607 OLIVEWOOD CT
FAIR OAKS, CA 95628-6317
Phone number: 917-967-7176
Mailing Address
MATHER VA
8607 OLIVEWOOD CT
FAIR OAKS, CA 95628-6317
Phone number: 917-967-7176
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