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Individual

REBECCA DUTTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3 HARBOR DR STE 111, SAUSALITO, CA 94965-1491
(415) 683-2988
Mailing address
4610 X ST, SACRAMENTO, CA 95817-2200

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A182766
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/26/2019
Last updated
05/22/2025
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