Organization
THEROLUCK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA KPANDEYENGE (OWNER)
(408) 417-8773
Entity
Organization
Contact information
Practice address
1556 ARRIGOTTI LN, TRACY, CA 95377-5630
(469) 957-9352
Mailing address
1556 ARRIGOTTI LN, TRACY, CA 95377-5630
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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