Individual
SARAH XIONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9823 GAVIRATE WAY, ELK GROVE, CA 95757-3035
(510) 916-9065
Mailing address
7300 GREENVILLE PL, CASTRO VALLEY, CA 94552-5257
(510) 414-7828
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
342701130
CA
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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