Individual
SUSAN B POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7115 GREENBACK LN, FL 3, CITRUS HEIGHTS, CA 95621-6133
(916) 536-3540
(916) 536-2455
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10542
CA
Other
Enumeration date
09/26/2006
Last updated
12/07/2023
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