Individual
ANUSHA MIM DEWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 FULTON AVE APT 2, SACRAMENTO, CA 95825-4500
(916) 801-9986
Mailing address
711 13TH ST APT 2, SACRAMENTO, CA 95814-1913
(916) 801-9986
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/29/2022
Last updated
03/21/2022
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