Individual
MS. ETHEL J. CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 BUSINESS DR, SUITE 130, SACRAMENTO, CA 95820-2140
(916) 734-8307
Mailing address
3159 RIDGEVIEW DR, EL DORADO HILLS, CA 95762-4460
(916) 933-1075
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
UC DAVIS CARE MANAGEMENT
CA
Enumeration date
11/07/2007
Last updated
11/07/2007
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