Individual
DEIJA CHANEL ROTHENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 428-1131
Mailing address
1413 JAMBOREE DR., FAIRFIELD, CA 94533
(707) 720-9571
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
05/17/2023
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