Organization
REGENESIS LLC
Active
Organization
REGENESIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY LEWIS (CEO)
(530) 537-2620
Entity
Organization
Contact information
Practice address
660 AUBURN FOLSOM RD STE 203, AUBURN, CA 95603-5646
(530) 537-2620
Mailing address
660 AUBURN FOLSOM RD STE 203, AUBURN, CA 95603-5646
(530) 537-2620
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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