Individual
CAIRON WADE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 BICENTENNIAL CIR, 277R, SACRAMENTO, CA 95826-2801
(916) 690-9759
(866) 627-4692
Mailing address
100 BICENTENNIAL CIR, 277R, SACRAMENTO, CA 95826-2801
(916) 690-9759
(866) 627-4692
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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