Most Relevant Information
Provider Data
NPI Number: | 1003445016 |
Provider Name: | MARIA KATHERINE REESINK |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | PA59802 |
Most Important Dates
Enumeration Date: | 04/02/2020 |
Last Updated: | 11/15/2021 |
Provider Practice Location
1641 CREEKSIDE DR STE 201
FOLSOM
CA
956303831
Practice Location Phone/Fax
Phone: | 9169833069 |
Fax: |
Provider Mailing Location
1641 CREEKSIDE DR STE 201
FOLSOM
CA
956303831
Provider Mailing Phone/Fax
Phone: | 6619724322 |
Fax: |