Individual
JOSEPHINE SHAYNE LUMAQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2230 STOCKTON BLVD, SACRAMENTO, CA 95817-1353
(916) 734-7251
(916) 734-7539
Mailing address
2230 STOCKTON BLVD, SACRAMENTO, CA 95817-1353
(916) 734-7251
(916) 734-7539
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-EMKXVA
CA
Other
Enumeration date
10/03/2020
Last updated
04/05/2023
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