Individual
ZEYERUSALEM WOLDESILASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10385 OLD PLACERVILLE RD, SACRAMENTO, CA 95827-2506
(916) 448-1770
(916) 448-3015
Mailing address
5201 NECTAR CIR, ELK GROVE, CA 95757-4333
(602) 570-4281
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NP95016910
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP95016910
—
CA
Enumeration date
09/08/2021
Last updated
09/08/2021
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