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Individual

CARRIE WEIDERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1435 RIVER PARK DR, SACRAMENTO, CA 95815-4509
(926) 286-7039
(916) 286-7039
Mailing address
1435 RIVER PARK DR STE 200, SACRAMENTO, CA 95815-4510
(916) 286-7039
(916) 286-7039

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
391327
CA
163WC0400X
Case Management Registered Nurse
391327
CA

Other

Enumeration date
02/06/2024
Last updated
02/06/2024
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