Provider Demographics
NPI:1194881763
Name:RASLEAR, MARIA ANN (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ANN
Last Name:RASLEAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3581 PALMER DR
Mailing Address - Street 2:STE. 401
Mailing Address - City:CAMERON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:95682-8236
Mailing Address - Country:US
Mailing Address - Phone:530-676-7337
Mailing Address - Fax:530-676-1141
Practice Address - Street 1:3581 PALMER DR
Practice Address - Street 2:STE. 401
Practice Address - City:CAMERON PARK
Practice Address - State:CA
Practice Address - Zip Code:95682-8236
Practice Address - Country:US
Practice Address - Phone:530-676-7337
Practice Address - Fax:530-676-1141
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG84000208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG84000OtherMEDICAL LICENSE NUMBER
CABR4889854OtherDEA NUMBER