PRIMARY CARE FAMILY MEDICAL CLINIC INC.
Ambulatory Health at Hospital Dr, Sacramento, CA

License number
California FNP34722
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DERRICK JOHN MULLIN FNP
Title: MANAGER
Phone: (916) 689-2121
Address
Address
7501 Hospital Dr SUITE 205, Sacramento, CA 95823
National Provider ID: 1689628844
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PRIMARY CARE FAMILY MEDICAL CLINIC, INC

7501 Hospital Dr #205, Sacramento, CA 95823

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Oct 25, 2005
State ID:
C2806943
Business type:
Articles of Incorporation
President:
Wu Hsaung Su President, inactive
Agent:
Derrick Mullin,Sacramento, CA 95823 (Physical)

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