Individual
SARA DEBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
808 E ST, EUREKA, CA 95501-1856
(707) 476-2177
(707) 476-2142
Mailing address
808 E ST, EUREKA, CA 95501-1856
(707) 476-2177
(707) 476-2142
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
821246
CA
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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