Individual
DMITRI PRIMAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7171 BOWLING DR STE 911, SACRAMENTO, CA 95823-2034
(916) 875-0722
(916) 875-0714
Mailing address
7171 BOWLING DR STE 911, SACRAMENTO, CA 95823-2034
(916) 875-0722
(916) 875-0714
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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