GASONG YUN NICKERSON

SACRAMENTO, CA
NPI1962877282
Former NameJOO YEON YUN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95004720)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: NY  F340096)
Enumeration Date2015-12-11
Last Update Date2019-10-02
Business Address
GASONG YUN NICKERSON
2800 L ST STE 500
SACRAMENTO, CA 95816-5616
Phone number: 916-454-6850
Mailing Address
GASONG YUN NICKERSON
2800 L ST STE 500
SACRAMENTO, CA 95816-5616
Phone number: 916-454-6850