Individual
JANEE MISKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6388 STOCKTON BLVD, 485, SACRAMENTO, CA 95823
(916) 907-3205
Mailing address
2300 NUCLA WAY, SACRAMENTO, CA 95834-1313
(209) 568-8097
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7366445576
MEDI-CAL
CA
Enumeration date
06/29/2018
Last updated
08/23/2023
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