Individual
AMY XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9045 BRUCEVILLE RD STE 100, ELK GROVE, CA 95758-5950
(916) 706-4072
Mailing address
9045 BRUCEVILLE RD STE 100, ELK GROVE, CA 95758-5950
(916) 706-4072
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95002556
CA
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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