Individual
MS. TERESA C LANGSLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1810 1ST ST, SUSANVILLE, CA 96130-4561
(530) 257-7335
(530) 257-9735
Mailing address
1810 1ST ST, SUSANVILLE, CA 96130-4561
(530) 257-7335
(530) 257-9735
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15986
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC03843F
—
CA
05
—
FHC70081F
—
CA
05
—
FHC70292F
—
CA
01
—
ZZZ42576Z
BLUE SHIELD DFP
CA
01
—
ZZZ87615Z
BLUE SHIELD NHC
—
01
—
ZZZ95961Z
BLUE SHIELD WFP
CA
Enumeration date
08/05/2006
Last updated
08/28/2013
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