Individual
MRS. SHERRIE J CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
515 FAIRCHILD CT, WOODLAND, CA 95695-5164
(530) 668-2600
(530) 669-3661
Mailing address
3400 DATA DR, ATTN CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17010
CA
Other
Enumeration date
07/20/2006
Last updated
02/27/2020
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