Individual
CONNIE L REVECAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 784-5880
Mailing address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1029
CA
Other
Enumeration date
12/09/2006
Last updated
01/11/2022
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