Search › California › 101YM0800X
Mary Supan
NPI 1972753101 · on the registry since 2008
Practice
- Address
- 2201 Park Towne Cir Ste 200
Sacramento, CA 95825 - Phone
- (916) 480-9000
- Fax
- (916) 480-9380
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Female
- Record last updated
- 2008-09-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California