Individual
AMY SUMMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5709 BALFOR RD, ROCKLIN, CA 95765-4943
(916) 896-8455
Mailing address
5709 BALFOR RD, ROCKLIN, CA 95765-4943
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1154605
TX
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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