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Organization
LIFE FAMILY MEDICINE CLINIC, INC
Active
Organization
LIFE FAMILY MEDICINE CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOU HER D.O (MAJORITY OWNER)
(916) 706-1458
Entity
Organization
Contact information
Practice address
7275 E SOUTHGATE DR, STE 102, SACRAMENTO, CA 95823-2628
(916) 704-1458
Mailing address
7275 E SOUTHGATE DR, STE 102, SACRAMENTO, CA 95823-2628
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC28085
CA
207Q00000X
Family Medicine Physician
Primary
20A11874
CA
Other
Enumeration date
10/02/2014
Last updated
12/09/2015
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