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Organization
1HEALTH
Active
Organization
1HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAELOR ANN SHWEIKI MPH (RA)
(415) 879-6762
Entity
Organization
Contact information
Practice address
2665 COMMONWOOD LN, CLOVIS, CA 93619-7954
(559) 321-7833
Mailing address
PO BOX 26881, FRESNO, CA 93729-6881
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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