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Individual

JOSEPH I. SISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4250 AUBURN BLVD, SACRAMENTO, CA 95841-4100
(916) 529-3907
Mailing address
PO BOX 19735, SACRAMENTO, CA 95819-0735
(916) 529-3907

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
G71704
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G717040
CA
Enumeration date
12/07/2005
Last updated
07/08/2007
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