Individual
SCOTT R SECONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1166 BROADWAY STE T, PLACERVILLE, CA 95667-5745
(530) 621-2273
(916) 436-4770
Mailing address
2996 RUMSEY ST, WEST SACRAMENTO, CA 95691-5264
(916) 295-2549
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
094700015
CA
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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