Individual provider · NPI-1

Mary Louise Bair, RN

Registered Nurse, General Practice · Sacramento, CA

NPI number1417054479
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1417054479
Entity type
Individual (NPI-1)
Name
Ms. Mary Louise Bair
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Sep 20, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice196767CAYes

Practice location

4600 Broadway
Suite 1100
Sacramento, CA 95820-1527

Phone 916-874-9670 · Fax 916-874-1780

Mailing address

2749 Las Casas Way
Rancho Cordova, CA 95670-3103

Phone 916-363-0849

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