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Individual

DINA NOLTE BOTELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
7486 CENTER PKWY, SACRAMENTO, CA 95823-3063
(916) 534-2736
Mailing address
9435 ACHATES CIR, SACRAMENTO, CA 95826-5535
(916) 857-0868

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY20811
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0PL208110
BLUE SHIELD
CA
Enumeration date
01/23/2007
Last updated
07/08/2007
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