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Organization
OASIS HEALTH AND WELLNESS CENTER, INC.
Active
Organization
OASIS HEALTH AND WELLNESS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA IMADE ODIASE DNP, PMHNP, FNP-BC (VICE PRESIDENT)
(916) 479-1332
Entity
Organization
Contact information
Practice address
7275 E. SOUTHGATE DR SUIT 408, SACRAMENTO, CA 95823-2629
(916) 479-1332
Mailing address
7275 E SOUTHGATE DR STE 408, SACRAMENTO, CA 95823-2632
(916) 706-0416
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
17711
CA
363LW0102X
Women's Health Nurse Practitioner
17711
CA
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
Primary
17711
CA
Other
Enumeration date
08/16/2013
Last updated
09/26/2013
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