Individual
LAURA SASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
750 REDWOOD HWY FRONTAGE RD STE 1204, MILL VALLEY, CA 94941-2483
(415) 384-4778
(415) 384-4779
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
02034949-1
NY
363AM0700X
Medical Physician Assistant
Primary
55484
CA
Other
Enumeration date
11/08/2016
Last updated
01/21/2021
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