Individual
DR. JEANNIE URQUICO VISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6555 COYLE AVE STE 310, CARMICHAEL, CA 95608-0303
(916) 965-4612
Mailing address
6555 COYLE AVE STE 310, CARMICHAEL, CA 95608-0303
(916) 965-4612
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A100182
CA
Other
Enumeration date
06/06/2007
Last updated
04/03/2009
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