Individual
CARISSA ALEXANDRIA SOBERANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9343 TECH CENTER DR, SACRAMENTO, CA 95826-2563
(916) 413-9631
Mailing address
9343 TECH CENTER DR, SACRAMENTO, CA 95826-2563
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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