Individual
EBBONIE R TAMUNO-KOKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7001A EAST PKWY, SACRAMENTO, CA 95823-2501
(169) 874-3831
Mailing address
7001A EAST PKWY, SACRAMENTO, CA 95823-2501
(916) 875-3831
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
06/06/2025
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