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Organization

UCD MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. WANDA PRATT LCSW (SUPERVISOR)
(916) 734-2583
Entity
Organization

Contact information

Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-2583
Mailing address
2730 STOCKTON BLVD, SACRAMENTO, CA 95817-2217
(916) 734-2583

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
LCS17366
CA

Other

Enumeration date
05/19/2011
Last updated
05/19/2011
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