Individual
ANTHONY MICHAEL SAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6302 13TH AVE, LUCERNE, CA 95458
(707) 274-9101
(707) 274-9192
Mailing address
PO BOX 1024, LUCERNE, CA 95458-1024
(707) 274-9101
(707) 274-9192
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
946000825
—
CA
Enumeration date
04/18/2018
Last updated
04/18/2018
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