Individual
JESSICA PENALOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9412 BIG HORN BLVD STE 6, ELK GROVE, CA 95758-1101
(916) 417-1049
(916) 226-2804
Mailing address
9412 BIG HORN BLVD STE 6, ELK GROVE, CA 95758-1101
(916) 417-1049
(916) 226-2804
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
05/08/2025
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