Individual
MS. ELIZABETH RAE WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 FULTON AVE STE 205, SACRAMENTO, CA 95825-4517
(916) 484-3570
(916) 484-3577
Mailing address
900 FULTON AVE, SACRAMENTO, CA 95825-4500
(916) 484-3570
(916) 484-3577
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
MPSS-OJSYXP
CA
Other
Enumeration date
03/04/2024
Last updated
10/18/2024
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