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NPI Code Detail

MEDICARE: MS. DEBI M STRYKER

MEDICARE: MS. DEBI M STRYKER
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
1106H00000XMarriage & Family Therapist47324CA

General Provider Information

NPI Number : 1629305792
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBI M STRYKER
Provider Business Mailing Address
First Line : 5240 JACKSON ST
Second Line :
City : NORTH HIGHLANDS
State : CA
Zip : 95660-5003
Country : US
Telephone Number : 916-338-1001
Fax Number :
Provider Business Practice Location Address
First Line : 5240 JACKSON ST
Second Line :
City : NORTH HIGHLANDS
State : CA
Zip : 95660-5003
Country : US
Telephone Number : 916-338-1001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2009
Last Update Date : 11/11/2009

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