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Individual

COURTNEY JANE WUSTHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4860 Y STREET, SUITE 3700, NEUROLOGY, SACRAMENTO, CA 95817
(916) 734-6280
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A92656
CA
2084E0001X
Epilepsy Physician
A92656
CA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
A92656
CA

Other

Enumeration date
12/27/2006
Last updated
10/03/2024
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