Individual
AMY TITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N 6TH ST, SACRAMENTO, CA 95811-0396
(279) 258-2850
Mailing address
500 N 6TH ST, SACRAMENTO, CA 95811-0396
(279) 258-2850
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
744779
CA
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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