Individual
BLANCA LILIA RODRIGUEZTELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7171 BOWLING DR, SACRAMENTO, CA 95823-2034
(916) 394-9195
(916) 392-2827
Mailing address
1927 15TH ST, OLIVEHURST, CA 95961-4653
(916) 897-3044
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
11/27/2023
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