Individual
EMMANUEL BESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
8801 KOTO DR, ELK GROVE, CA 95624-4538
(916) 890-8848
Mailing address
8801 KOTO DR, ELK GROVE, CA 95624-4538
(916) 890-8848
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95017493
CA
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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