Individual
CARSON POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2230 STOCKTON BLVD, SACRAMENTO, CA 95817-1353
(916) 734-3574
Mailing address
2312 3RD AVE, SACRAMENTO, CA 95818-3106
(206) 228-9096
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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