Individual
AMY WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4610 X ST, SACRAMENTO, CA 95817-2200
(209) 814-4958
Mailing address
4610 X ST, SACRAMENTO, CA 95817-2200
(916) 461-9415
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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