Individual
JADE ELIZABETH CUCCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
226 BONTA ST, BLAIRSDEN, CA 96103-9000
(530) 737-9622
Mailing address
226 BONTA ST # 121, BLAIRSDEN, CA 96103-9000
(530) 737-9622
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
00997122
CA
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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