Individual
SUMMER MIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3013 EL CAMINO AVE STE A, SACRAMENTO, CA 95821-6063
(916) 891-5980
Mailing address
5625 MANZANITA AVE APT 31, CARMICHAEL, CA 95608-6514
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
RHT00104115
CA
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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