Organization
SNOWLINE ELDERCARE PC
Active
Other names
SNOWLINE ELDERCARE
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM WIEDEMANN (CFO)
(530) 621-7820
Entity
Organization
Contact information
Practice address
6520 PLEASANT VALLEY RD, DIAMOND SPRINGS, CA 95619-9512
(530) 621-7820
Mailing address
6520 PLEASANT VALLEY RD, DIAMOND SPRINGS, CA 95619-9512
(530) 621-7820
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
03/26/2025
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