Individual
MR. EVER ANSELMO MESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHAPLAIN
Contact information
Practice address
2710 GATEWAY OAKS DR STE 100, SACRAMENTO, CA 95833-3505
(916) 619-6300
Mailing address
PO BOX 189033, SACRAMENTO, CA 95818-9033
(916) 317-1952
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
CA
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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