Individual
DINA BORICHEVSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 J ST, SACRAMENTO, CA 95819-3626
(916) 733-6421
Mailing address
8108 HIGHWOOD WAY, ORANGEVALE, CA 95662-3130
(916) 832-6383
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
799861
CA
363L00000X
Nurse Practitioner
Primary
95014483
CA
Other
Enumeration date
03/04/2020
Last updated
12/10/2020
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