Individual
HAN NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 346-8825
Mailing address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 346-8825
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95396494
CA
164X00000X
Licensed Vocational Nurse
705355
CA
Other
Enumeration date
12/08/2022
Last updated
12/12/2024
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