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NPI Code Detail

MEDICARE: ERIKA EASTER- PHEA

MEDICARE: ERIKA EASTER- PHEA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172A00000XDriver

General Provider Information

NPI Number : 1619596277
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA EASTER- PHEA
Provider Business Mailing Address
First Line : 7316 SPRINGMAN ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95822-5443
Country : US
Telephone Number : 916-835-0890
Fax Number :
Provider Business Practice Location Address
First Line : 9245 LAGUNA SPRINGS DR STE 200
Second Line :
City : ELK GROVE
State : CA
Zip : 95758-7991
Country : US
Telephone Number : 916-835-0890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2020
Last Update Date : 04/14/2020

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Directions to “ ERIKA EASTER- PHEA ” Practice Location

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