Individual
KASEY LONBAKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
855 HOWE AVE, SACRAMENTO, CA 95825-3912
(844) 664-2248
Mailing address
1570 MCCLURE ST, WOODLAND, CA 95776-5629
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
776146
CA
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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