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Individual

ALLISON EMIKO IWAMOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C, RN

Contact information

Practice address
4617 FREEPORT BLVD STE B, SACRAMENTO, CA 95822-2015
(916) 422-7273
Mailing address
4617 FREEPORT BLVD STE B, SACRAMENTO, CA 95822-2015
(916) 422-7273

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95077357
CA
207Q00000X
Family Medicine Physician
Primary
95010444
CA

Other

Enumeration date
01/05/2021
Last updated
02/17/2021
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