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Maria-dolores Cerqueira Haneffant, PA
Medical Physician Assistant in Roseville, California
NPI 1063517761

Maria-dolores Cerqueira Haneffant is a Medical Physician Assistant based in Sacramento, CA and is specialized in Medical. Maria-dolores Cerqueira Haneffant practices in Roseville, CA and has the professional credentials of PA. The NPI Number for Maria-dolores Cerqueira Haneffant is 1063517761 and holds a License No. PA13226 (California).

The current practice location address for Maria-dolores Cerqueira Haneffant is 3100 Douglas Blvd, Roseville, CA and can be reached out via phone at 916-774-8300 and via fax at 916-773-7145. You can also correspond with Maria-dolores Cerqueira Haneffant through the mailing address at 10470 OLD PLACERVILLE RD, SACRAMENTO, CA - 95827-2539 (mailing address contact number: 800-470-0071).

Location: 3100 Douglas Blvd, Roseville, CA, 95827-2539
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Provider Profile Details
NPI Number
1063517761
Provider Name
Maria-dolores Cerqueira Haneffant
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3100 Douglas Blvd, Roseville, CA, 95827-2539
Phone Number
916-774-8300
Fax Number
916-773-7145
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA13226 01 CA PHYSICIAN ASSIST LIC
institution
Provider Business Practice Location Address Details
Address
3100 Douglas Blvd
City
State
Zip
95661-3866
Phone Number
916-774-8300
Fax Number
916-773-7145
person
Provider Business Mailing Address Details
Address
3100 Douglas Blvd
City
State
Zip
95661-3866
Phone Number
916-774-8300
Fax Number
916-773-7145
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA13226 (California)
Definition
Definition to come...
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