Individual
ANITA TITLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCMA
Contact information
Practice address
310 HARRIS AVE STE A, SACRAMENTO, CA 95838-3249
(916) 649-6793
Mailing address
310 HARRIS AVE STE A, SACRAMENTO, CA 95838-3249
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
M2G8N7K2
CA
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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