Individual
LAURA WAHPEPAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
750 LAS GALLINAS AVE, #210, SAN RAFAEL, CA 94903-3438
(415) 479-7244
Mailing address
10470 OLD PLACERVILLE RD, #100, SACRAMENTO, CA 95827-2539
(916) 854-6975
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
12723
CA
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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