Organization
SACRAMENTO COUNTY DHHS
Active
Other names
AS ABOVE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ESTELITA D. AVERA (LVN)
(916) 875-0802
Entity
Organization
Contact information
Practice address
6808 RIO TEJO WAY, ELK GROVE, CA 95757-3432
(916) 875-0802
(916) 875-0854
Mailing address
6808 RIO TEJO WAY, ELK GROVE, CA 95757-3432
(916) 875-0802
(916) 875-0854
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
VN111149
CA
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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