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NPI Code Detail

MEDICARE: SARAH HOLMES PA

MEDICARE:   SARAH  HOLMES  PA
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
1363AS0400XSurgical Physician Assistant22944CA

General Provider Information

NPI Number : 1619228954
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH HOLMES PA
Provider Business Mailing Address
First Line : 2221 STOCKTON BLVD
Second Line : SUITE 2112
City : SACRAMENTO
State : CA
Zip : 95817-1418
Country : US
Telephone Number : 916-734-3861
Fax Number :
Provider Business Practice Location Address
First Line : 2221 STOCKTON BLVD
Second Line : SUITE 2122
City : SACRAMENTO
State : CA
Zip : 95817-1418
Country : US
Telephone Number : 916-734-3861
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2012
Last Update Date : 04/28/2016

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Directions to “ SARAH HOLMES PA” Practice Location

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