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Anne Susco, DO
Student in an Organized Health Care Education/Training Program in Vallejo, California
NPI 1871295162

Anne Susco is a Student in an Organized Health Care Education/Training Program based in Vallejo, CA. Anne Susco practices in Vallejo, CA and has the professional credentials of DO. The NPI Number for Anne Susco is 1871295162 and holds a License No. (California).

The current practice location address for Anne Susco is 1310 Club Dr, Vallejo, CA and can be reached out via phone at 650-353-6290.

Location: 1310 Club Dr, Vallejo, CA, 94592-1187
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871295162
Provider Name
Anne Susco
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1310 Club Dr, Vallejo, CA, 94592-1187
Phone Number
650-353-6290
Fax Number
Provider Enumeration Date
03/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1310 Club Dr
City
Vallejo
State
California
Zip
94592-1187
Phone Number
650-353-6290
Fax Number
person
Provider Business Mailing Address Details
Address
1310 Club Dr
City
Vallejo
State
California
Zip
94592-1187
Phone Number
650-353-6290
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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