Organization
AXIS BRIDGE MANAGEMENT, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCELYN ANN STEVENSON (ADMINISTRATOR/MEMBER)
(916) 389-9985
Entity
Organization
Contact information
Practice address
5702 LONETREE BLVD, ROCKLIN, CA 95765-3734
(916) 389-1144
Mailing address
5702 LONETREE BLVD, ROCKLIN, CA 95765-3734
(916) 389-1144
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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