Healthcare Provider Details

I. General information

NPI: 1487717401
Provider Name (Legal Business Name): FLORINDA SAYSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 HILLSDALE CT
FAIRFIELD CA
94534-6843
US

IV. Provider business mailing address

600 HILLSDALE CT
FAIRFIELD CA
94534-6843
US

V. Phone/Fax

Practice location:
  • Phone: 707-864-0739
  • Fax: 707-553-5649
Mailing address:
  • Phone: 707-864-0739
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License NumberN9074822
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: