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Individual

CHRISTINE JOY LICATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2300 BELL EXECUTIVE LN, SACRAMENTO, CA 95825-4068
(925) 685-4224
(925) 685-6997
Mailing address
2300 BELL EXECUTIVE LN, SACRAMENTO, CA 95825-4068
(925) 685-4224
(925) 685-6997

Taxonomy

Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
A176389
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/23/2019
Last updated
02/13/2025
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