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Individual

TERRANCE SISCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9580 OAK AVENUE PKWY STE 7-162, FOLSOM, CA 95630-1888
(714) 322-1344
Mailing address
9580 OAK AVENUE PKWY STE 7-162, FOLSOM, CA 95630-1888
(714) 322-1344

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
C4267060
CA

Other

Enumeration date
12/30/2024
Last updated
12/30/2024
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