Healthcare Provider Details

I. General information

NPI: 1497530315
Provider Name (Legal Business Name): DANA TURAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2023
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9719 LINCOLN VILLAGE DR STE 504
SACRAMENTO CA
95827-3332
US

IV. Provider business mailing address

9719 LINCOLN VILLAGE DR STE 504
SACRAMENTO CA
95827-3332
US

V. Phone/Fax

Practice location:
  • Phone: 916-303-3445
  • Fax:
Mailing address:
  • Phone: 916-303-3445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number01184010
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License NumberCPT8994
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: