Debbie Xiong

Individual provider Active NPI Contractor · Weed, CA

NPI 1962229104 · NPPES record last updated Sep 20, 2024

Key facts

NPI
1962229104
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
Practice address
4408 State Highway 97 SPC 9
Weed, CA 96094-9021
Phone
(530) 408-8260
NPI assigned
Sep 20, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Yes

Addresses

Primary practice location

4408 State Highway 97 SPC 9
Weed, CA 96094-9021

Mailing address

4408 State Highway 97 SPC 9
Weed, CA 96094-9021
Phone (530) 408-8260

Other providers in Weed, CA

All providers in Weed, CA · Contractor in California

Sources for this page

Verify at the official NPI Registry.