Individual
VINITA BURROUGHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 N B ST, SACRAMENTO, CA 95811-0326
(916) 378-8266
Mailing address
1103 N B ST, SACRAMENTO, CA 95811-0326
(916) 378-8266
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
06/23/2025
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