Individual
SUMMER AZMAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 DOUGLAS BLVD STE 204, ROSEVILLE, CA 95661-3868
(916) 774-8885
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A187376
CA
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
A187376
CA
Other
Enumeration date
06/13/2019
Last updated
09/15/2023
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