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Individual

ANNEMARIE NEWBERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4811 CHIPPENDALE DR STE 208, SACRAMENTO, CA 95841-2551
(916) 638-2508
Mailing address
4811 CHIPPENDALE DR STE 208, SACRAMENTO, CA 95841-2551
(916) 638-2508

Taxonomy

Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
C54093
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C54093
BOC
CA
Enumeration date
12/12/2022
Last updated
12/12/2022
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