Individual
RAENIQUA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 BERCUT DR, SACRAMENTO, CA 95811-0131
(916) 440-1500
(916) 440-1514
Mailing address
3780 ROSIN CT STE 110, SACRAMENTO, CA 95834-1698
(916) 441-0226
(916) 441-0286
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
CA
171M00000X
Case Manager/Care Coordinator
—
CA
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
CA
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
08/31/2021
Last updated
03/06/2026
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