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Individual

SARAH. TERANISHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1 SHIELD AVE, DAVIS, CA 95616-5270
(530) 752-2300
Mailing address
1480 INGRID DRIVE, DIXON, CA 95620-4222
(707) 678-0604

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
T171680
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
T171680
CALIF BRN #
CA
Enumeration date
10/13/2006
Last updated
07/08/2007
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