Individual
ANNABELLE REYES DELOSSANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8118 TIMBERLAKE WAY, SACRAMENTO, CA 95823-5400
(916) 688-5040
(916) 688-7866
Mailing address
PO BOX 580053, ELK GROVE, CA 95758-0001
(916) 683-6349
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA20847
CA
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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