Individual
DEJA SIMONE DETRINIDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 UNIVERSITY AVE STE 225, SACRAMENTO, CA 95825-6756
(916) 794-2051
Mailing address
PO BOX 2654, ELK GROVE, CA 95759-2654
(916) 877-9523
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
06/20/2022
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