Individual
MRS. TERESA DIWATA HU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7700 FOLSOM BLVD, SACRAMENTO, CA 95826-2608
(916) 386-3000
Mailing address
9732 WILD TEAK CT, ELK GROVE, CA 95757-8380
(916) 690-8299
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
RN450458
CA
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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