Organization
SEQUOIA PACE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BUTLER (EXECUTIVE DIRECTOR)
(559) 777-6722
Entity
Organization
Contact information
Practice address
1649 VAN NESS AVE, FRESNO, CA 93721-1128
(650) 242-5908
Mailing address
1649 VAN NESS AVE, FRESNO, CA 93721-1128
(650) 242-5908
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
03/25/2025
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