Individual
MONROE DYSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6913 SOUTHAMPTON WAY, SACRAMENTO, CA 95823-1937
(916) 498-4905
Mailing address
6913 SOUTHAMPTON WAY, SACRAMENTO, CA 95823-1937
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
342700446
CA
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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