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Individual

MR. ERIC PAUL EMMETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1789 W. YOSEMITE AVE, SIERRA BUILDING, SUITE 200, MANTECA, CA 95337-5130
(209) 858-7770
Mailing address
2291 DONNER WAY, SACRAMENTO, CA 95818
(323) 428-4989

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
59734
CA
363AM0700X
Medical Physician Assistant
59734
CA

Other

Enumeration date
10/12/2021
Last updated
11/29/2022
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