Individual
MRS. MARIA ANNA MOMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
935B SPRING ST, PLACERVILLE, CA 95667-4543
(530) 621-6210
(530) 622-2385
Mailing address
PO BOX 2418, PLACERVILLE, CA 95667-2418
(530) 621-6210
(530) 622-2385
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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