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Individual

DR. KATHRYN CAMILLE DIMICELI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
83 SCRIPPS DR STE 220, SACRAMENTO, CA 95825-6383
(916) 887-7474
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036.125169
IL
207W00000X
Ophthalmology Physician
272291
NY
207W00000X
Ophthalmology Physician
Primary
A133901
CA
207W00000X
Ophthalmology Physician
E-6905
AR
207W00000X
Ophthalmology Physician
MT190975
PA

Other

Enumeration date
06/04/2008
Last updated
10/07/2020
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