Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 34696 | CA |
NPI | 1083758205 |
---|---|
Provider Name | Dr. Debra Sue Finney |
First Address | Folsom, CA 95630-3820 |
Second Address | Folsom, CA 95630-3820 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2007 |
Last Update Date | 08/07/2007 |