Individual
GERALDINE M DUTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
632 W GIBSON RD, WOODLAND, CA 95695-5169
(530) 668-2600
Mailing address
632 W GIBSON RD, WOODLAND, CA 95695-5169
(530) 668-2600
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA14146
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0079250
—
CA
01
—
PA14146
PA LICENSE
CA
01
—
ZZZ13239Z
GROUP PTAN
CA
Enumeration date
04/01/2008
Last updated
02/14/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us