Individual
CHARLENE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 COTTAGE WAY STE G2, SACRAMENTO, CA 95825-1474
(209) 683-8501
Mailing address
3400 COTTAGE WAY STE G2, SACRAMENTO, CA 95825-1474
(209) 683-8501
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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