Individual
BRIAN PAUL VACCAREZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
475 PIONEER AVE, SUITE 400, WOODLAND, CA 95776-4905
(530) 406-5601
(530) 406-5626
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
P00762
CA
363A00000X
Physician Assistant
Primary
PA14579
CA
Other
Enumeration date
03/03/2006
Last updated
07/27/2015
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