Individual
MAXIMINA LAYABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5125 CHICAGO AVE, FAIR OAKS, CA 95628-5200
(916) 955-4000
(916) 965-4506
Mailing address
5125 CHICAGO AVE, FAIR OAKS, CA 95628-5200
(916) 955-4000
(916) 965-4506
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
347003311
CA
Other
Enumeration date
07/28/2012
Last updated
07/28/2012
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