Individual
DR. JACQUELINE H. SEDGWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H
Contact information
Practice address
528 CAPITOLA AVE, CAPITOLA, CA 95010-2750
(831) 475-1630
(831) 475-1629
Mailing address
3400 DATA DR, ATTN CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
G75452
CA
Other
Enumeration date
09/21/2006
Last updated
02/21/2020
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