Jessica Holum
Physician Assistant in Sacramento, CA. Individual provider (NPI-1).
NPI number1164084406
StatusActive
Last updated in NPPESJul 8, 2019
Details
- NPI
- 1164084406
- Entity type
- Individual (NPI-1)
- Name
- Jessica Holum
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2019
- Last updated
- Jul 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
2570 48th StSacramento, CA 95817-1541
Phone 916-734-2145
Mailing address
2570 48th StSacramento, CA 95817-1541
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