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Organization
LOVELY STICKS
Active
Organization
LOVELY STICKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAKEAL DAVIS (CEO)
(916) 866-9562
Entity
Organization
Contact information
Practice address
1024 JOELLIS WAY, SACRAMENTO, CA 95815-3913
(800) 536-6331
Mailing address
4500 NATOMAS CENTRAL DR APT 1034, SACRAMENTO, CA 95834-7565
(916) 866-9562
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
246RM2200X
Medical Laboratory Technician
—
—
246RP1900X
Phlebotomy Technician
Primary
—
—
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
09/13/2026
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