Individual
CHARLENE A HAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10058 WOLF ROAD, GRASS VALLEY, CA 95949-8194
(530) 745-1500
(530) 745-1505
Mailing address
P.O. BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A112965
CA
390200000X
Student in an Organized Health Care Education/Training Program
0116020464
VA
Other
Enumeration date
06/26/2008
Last updated
09/06/2012
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