Individual
CHENOA HAYWARD-FARWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7225 E SOUTHGATE DR, SACRAMENTO, CA 95823-2652
(916) 394-1000
Mailing address
7225 E SOUTHGATE DR, SACRAMENTO, CA 95823-2652
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
685870
CA
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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