Individual
CELESTINA ALMA SURITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9924 GREAT SKUA WAY, ELK GROVE, CA 95757-6378
(916) 826-5444
Mailing address
9924 GREAT SKUA WAY, ELK GROVE, CA 95757-6378
(916) 826-5444
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95019442
CA
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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