Individual
REBECCA JOYCE WATTENBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA, PTA
Contact information
Practice address
3000 Q ST, SACRAMENTO, CA 95816-7058
(916) 733-3400
(916) 733-5384
Mailing address
3400 DATA DR, PHYSICIAN SUPPORT SERVICES, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20069
CA
Other
Enumeration date
11/11/2008
Last updated
01/20/2015
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