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Individual

DR. KEMESHA DELISSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
480 DEL NORTE AVE, YUBA CITY, CA 95991-4125
(916) 953-7571
(916) 771-8515
Mailing address
729 SUNRISE AVE STE 602, ROSEVILLE, CA 95661-4542
(916) 953-7571
(916) 771-8515

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0101252058
VA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD60960761
WA
208VP0014X
Interventional Pain Medicine Physician
0101252058
VA
208VP0014X
Interventional Pain Medicine Physician
MD60960761
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2137088
WA
Enumeration date
06/05/2008
Last updated
10/09/2024
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