Individual
MRS. JERI PATRICIA BIANCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
935 SPRING ST, PLACERVILLE, CA 95667
(530) 621-6213
(530) 622-2385
Mailing address
PO BOX 1177, DIAMOND SPRINGS, CA 95619-1177
(530) 621-6213
(530) 622-2385
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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