Individual
KANEISHA RAYVON EVANS COKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 875-1000
Mailing address
3600 DATA DR APT 316, RANCHO CORDOVA, CA 95670-7924
(916) 969-4375
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
07/28/2025
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