Organization
TERI SEVERSON ELECTROLYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERI SEVERSON L.E. (SOLE PROPRIETER)
(916) 267-1377
Entity
Organization
Contact information
Practice address
701 HIGH ST, SUITE 201, AUBURN, CA 95603-4735
(916) 267-1377
Mailing address
701 HIGH ST, SUITE 201, AUBURN, CA 95603-4735
(916) 267-1377
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
L9307
CA
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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