Individual
YELENA BIGELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3612 EASTERN AVE, SACRAMENTO, CA 95821-3204
(916) 631-0694
Mailing address
3612 EASTERN AVE, SACRAMENTO, CA 95821-3204
(916) 631-0694
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
342701257
CA
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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