Individual
AUDREY ILAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 N B ST STE D, SACRAMENTO, CA 95811-0326
(916) 378-8260
Mailing address
1103 N B ST STE D, SACRAMENTO, CA 95811-0326
(916) 378-8260
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
05/27/2025
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