Doctor Name: | JANA L PRATT |
NPI Number: | 1598860355 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PAC |
License Number: | PA13302 |
Business Practice Address: | 2420 Sonoma St Ste B Redding, CA - 960013027 |
Business Phone Number: | 5302464455 |
Business Fax Number: | |
Mailing Address: | 2410 Sonoma St, Ste 1 REDDING |
State: | CA |
Postal Code: | 960013029 |
Phone Number: | 5302433339 |
Fax Number: | 5302433582 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 02/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PA13302 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |