Individual
DENNIS A NOUSAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 COURT ST, STE 7, JACKSON, CA 95642-2154
(209) 257-5900
(209) 257-5901
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C35000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C350000
—
CA
Enumeration date
08/11/2006
Last updated
07/09/2015
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