Individual
TOI SAN MALBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9340 E STOCKTON BLVD, ELK GROVE, CA 95624-1563
(916) 509-8198
(916) 509-8199
Mailing address
9340 E STOCKTON BLVD, ELK GROVE, CA 95624-1563
(916) 509-8198
(916) 509-8199
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
05/23/2025
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