Individual
DRESSIA NEWSOM HIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1205 E NORTH ST, MANTECA, CA 95336-4932
(209) 239-8301
Mailing address
1205 E NORTH ST, MANTECA, CA 95336-4932
(209) 239-8301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15213
CA
363LF0000X
Family Nurse Practitioner
NP10915
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA15213
—
CA
Enumeration date
09/12/2006
Last updated
05/23/2016
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