MAXINE POTTENGER

FAIRFIELD, CA
NPI1932523081
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  A165796)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-02-10
Last Update Date2021-06-29
Business Address
MAXINE POTTENGER MD
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-784-4900
Mailing Address
MAXINE POTTENGER MD
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-784-4900