Individual
CHEYENNE WHEELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1530 3RD ST, LINCOLN, CA 95648-1562
(530) 536-9508
Mailing address
406 SUNRISE AVE STE 100, ROSEVILLE, CA 95661-4106
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-XTPLYN
CA
Other
Enumeration date
04/03/2025
Last updated
12/02/2025
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