Individual
DENISE MAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 JEFFERSON BLVD STE 180, WEST SACRAMENTO, CA 95605-2350
(916) 403-2900
(530) 204-5248
Mailing address
500B JEFFERSON BLVD STE 180, WEST SACRAMENTO, CA 95605-2349
(916) 403-2900
(530) 204-5248
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95255646
CA
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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