Individual
MR. EGHOSA CHRISTOPHER ILAIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 875-1000
(916) 875-1002
Mailing address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 875-1000
(916) 875-1002
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/04/2013
Last updated
10/07/2024
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