Individual
KAREN Y NISHIMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 MEDICAL PLAZA DR, #230, ROSEVILLE, CA 95661-3087
(916) 797-4766
(916) 797-4767
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A60747
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A607470
—
CA
Enumeration date
09/13/2006
Last updated
06/08/2015
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