Most Relevant Information
Provider Data
| NPI Number: | 1003545963 |
| Provider Name: | KOU HER RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0200X |
| Specialty: | Registered Nurse |
| License Number: | 95278654 |
Most Important Dates
| Enumeration Date: | 06/07/2022 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
2425 STOCKTON BLVD
SACRAMENTO
CA
958172215
Practice Location Phone/Fax
| Phone: | 9164532000 |
| Fax: |
Provider Mailing Location
5223 GLIMMER WAY
SACRAMENTO
CA
958352628
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |