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Individual

JEBB MIRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
6615 VALLEY HI DR, SACRAMENTO, CA 95823-7076
(916) 450-2650
Mailing address
6615 VALLEY HI DR, SACRAMENTO, CA 95823-7076
(916) 450-2650

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
175T00000X
Peer Specialist
Primary
MPSS-RCYPEB
CA

Other

Enumeration date
03/06/2025
Last updated
05/11/2026
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