Individual
PACASIE KAMIKAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8501 BRUCEVILLE RD, ELK GROVE, CA 95758-7258
(916) 430-1920
Mailing address
8501 BRUCEVILLE RD, ELK GROVE, CA 95758-7258
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5270
CA
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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