Individual
DR. JULIE ANN HUAT PHENCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 PARKSHORE DR, FOLSOM, CA 95630-4726
(916) 580-3240
(916) 840-7664
Mailing address
101 PARKSHORE DR, FOLSOM, CA 95630-4726
(916) 580-3240
(916) 840-7664
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A124059
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810015806
—
WV
Enumeration date
07/13/2007
Last updated
03/28/2024
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