Individual
JANA L PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2420 SONOMA ST STE B, REDDING, CA 96001-3027
(530) 246-4455
Mailing address
2410 SONOMA ST, STE 1, REDDING, CA 96001-3029
(530) 243-3339
(530) 243-3582
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PA13302
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0094810
—
CA
Enumeration date
09/14/2006
Last updated
02/09/2016
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